This surgery involves removing fibroids from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
Myomectomy is done to relieve problems caused by fibroids without doing a hysterectomy (removal of the uterus). These problems can include:
The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor may do the following:
You should discuss with your doctor:
Leading up to your procedure:
General anesthesia is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
A small cut will be made in the navel. A laparoscope will be inserted into the abdomen through the cut. A laparoscope is a tube with a tiny camera on the end. It will be used to examine the abdomen. 2 or 3 additional small cuts will be made in the abdomen. Other tools will be inserted through these cuts. Each fibroid will be located and removed. In some cases, you may be given a medication to reduce blood loss. After the fibroids are removed, the incision area will be closed with stitches.
Be aware that in some cases, an open surgery may need to be used instead. During an open surgery, a larger incision will be made in the abdomen to do the surgery.
After the procedure, you will be:
You will be given medication to control the pain.
You will either stay overnight or leave the hospital the same day as your surgery.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Full recover will take about 2-4 weeks.
After you leave the hospital, contact your doctor if any of the following occurs:
If you think you are having an emergency, call for emergency medical services right away.
American Congress of Obstetricians and Gynecologists
Women's Health—US Department of Health and Human Services
Women's Health Matters
American Congress of Obstetricians and Gynecologists. Alternatives to hysterectomy in management of leiomyomas. Practice Bulletin. 2010;96.
Uterine fibroid symptoms, diagnosis, and treatment. Society of Cardiovascular and Interventional Radiology website. Available at: http://www.sirweb.org/patients/uterine-fibroids/. Accessed December 11, 2017.
6/2/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T909182/Prevention-of-hospital-acquired-pneumonia: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed November 2018 by Beverly Siegal, MD, FACOG Last Updated: 12/20/2014