Myomectomy

Relieving Symptoms of Uterine Fibroids

Uterine fibroids are commonly noncancerous growths of tissue in the uterus. These fibroids can develop at any age but it usually happens during birthing years. However, your fibroids might need to be removed in the case of Frequent urination, Irregular and heavy periods, Pelvic pain.

What is myomectomy?

Myomectomy defines the elimination of problematic uterine fibroids which are also known as leiomyomas. Myomectomy is significant for its characteristic that is leaving the uterus intact. This feature is significant in terms of leaving a possibility of pregnancy for patients.

The main aim of myomectomy is to separate the myoms, namely fibroids away from the uterus and rearrange the uterus.

Myomectomy can be considered in terms of

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Uterus fibroids that prevent pregnancy

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Planning to have children

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Not wanting to get rid of the uterus

Hysterectomy vs myomectomy

The main difference between hysterectomy and myomectomy is that hysterectomy is the removal of the uterus, cervix, and fibroids while myomectomy is the removal of only uterine fibroids. Myomectomy is considered to be an alternative to hysterectomy for those who want to get pregnant after getting the removal of fibroid operation done.
In the case of myomectomy, the menstrual period will most likely come again and patients will be able to get pregnant, unlike the impossibility of pregnancy after a hysterectomy.

Types of myomectomy

Several types of myomectomy can be the solution to your situation.

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What is Laparoscopic myomectomy?

Laparoscopic myomectomy is especially a good choice if the patient has fewer and smaller fibroids. This myomectomy procedure takes its name from the laparoscope which is a narrow tube that has a camera fitted in. Insertion of laparoscope requires a small incision whether near or in the bellybutton.

Laparoscopic myomectomy is beneficial since it requires shorter hospital stays and causes less blood loss and complications. This type of operation is considered to be minimally invasive.

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What is a Hysteroscopic myomectomy?

This type of myomectomy procedure is also known as the vaginal myomectomy. It is used to treat smaller fibroids that are also called submucosal fibroids in the uterus which are not deep in the uterine wall and smaller than 4 cm.

Hysteroscopic myomectomy is convenient in terms of not requiring an incision. The surgeon can remove the fibroids if they are in the correct place where it is possible to perform by putting a camera through the vagina. The specific characteristic of hysteroscopic myomectomy is the utilization of surgical instruments put in the uterus through the vagina and cervix.

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What is a Robotic myomectomy?

Robotic myomectomy is the utilization of separate consoles during laparoscopic myomectomy. The surgeons take advantage of a robotic arm to remove the fibroids that are usually deep in the uterine wall and also numerous. It is convenient for surgeons since it provides a view on a video monitor to control the operation.

In this type of myomectomy, there is also minimal bleeding, and less invasive.

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What is Abdominal myomectomy?

Abdominal myomectomy is also known as open myomectomy. This kind of myomectomy operation is especially preferred when there are very large and many fibroids in the uterine wall. The incision that is made in the abdominal wall is generally horizontal and in the low part of the belly which is also known as a bikini line.

What are the benefits of myomectomy?

Myomectomy mainly treats pelvic pain, irregular bleeding, and heavy periods. This procedure relieves the symptoms of the aforementioned uterus-related issues. Therefore, it also improves fertility in some cases.

Preparation before myomectomy

Before the myomectomy surgery, your healthcare provider might ask for some tests to determine what type of myomectomy your general health requires and how you should be prepared. These tests include,

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MRI scan

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Electrocardiogram

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Blood tests

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Pelvic ultrasound

Surgeons determine which type of anesthesia is proper and give information about the usage of medicines. It might be general anesthesia or monitored anesthesia care.

Patients have to quit smoking before the surgery. Additionally, they have to fast and not drink anything the night before surgery.

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What is myomectomy surgery?

Deciding which type of myomectomy operation has to be performed depends on

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The location of fibroids in the uterus

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Amount of fibroids

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Size of fibroids

What a myomectomy surgery looks like changes according to the type of operation. Typically, it all starts after the anesthesia to put the patient to sleep.

Laparoscopic and robotic myomectomy surgery

Laparoscopic myomectomy surgery is performed by inserting surgical instruments through small 4 incisions and the belly filled with carbon dioxide for the surgeon to see inside the abdomen. Then a laparoscope is inserted into an incision to see the fallopian tubes, uterus, and ovaries.

Robotic myomectomy is the robotic arm-utilized version of laparoscopic myomectomy.

After the operation, uterine muscles are closed, the gas is released, and incisions are sewn back.

Abdominal myomectomy surgery

Since it is an open surgery, an incision that is approximately 3-4 inches long is cut on the lower abdomen in this operation. Then, myoms that are also known as fibroids are separated from the uterus wall. After the operation, uterine muscles are sewn back.

In abdominal myomectomy surgery, a blood transfusion might be required according to the amount of blood loss during the procedure.

Hysteroscopic myomectomy surgery

In hysteroscopic myomectomy surgery, surgeons insert a small surgical instrument that radiates light into the uterus through the cervix and vagina. Therefore, a sterile salt solution is inserted into the uterus to expand the uterus cavity. After this procedure, examination of the uterine walls gets easier.

Finally, the surgeon shaves off the submucosal fibroid by using a resectoscope or a hysteroscopic morcellator.

Additionally, a second surgery might be needed in case larger fibroids couldn’t be shaved completely.

Recovery after myomectomy surgery

The healthcare providers provide important information about taking care of oneself after the surgery. Myomectomy can be painful, so painkillers might be used. The patients also must be ready to experience some vaginal spotting or staining up to 6 weeks.

However, the myomectomy recovery time depends on the type of myomectomy surgery. We provided a myomectomy recovery timeline and hospital stay for your consideration.

Type of Myomectomy	Recovery Time	Hospital Stay
Laparoscopic Myomectomy	2-4 weeks	1 night at most
Abdominal Myomectomy	4-6 weeks	1-2 days
Hysteroscopic Myomectomy	2-3 weeks	No overnight stay

Body changes after myomectomy

Although there can be scars after the surgery, they won’t be visible since they fade away most of the time. The main change can be the relief of the symptoms that were caused by the fibroids.

However, you can look at scar pictures of myomectomy surgery to get an idea.

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Why should you choose Turkey for a myomectomy operation?

Turkey provides several reasons to attract those who consider a myomectomy surgery. Turkey can be considered an alluring destination for its pleasing health system compared to the slow-functioning health system of developed countries such as the US, the UK, and other European countries. Additionally, Turkey is also a compelling option for professional and friendly healthcare providers.

Myomectomy cost in Turkey

Myomectomy is affordable in Turkey compared to other developed countries. Even though the cost might change according to the place where you decided to get your surgery done, additional treatments, and the type of surgery you need, one can consider Turkey as an economical option. Turkey has a leading healthcare system with modern hospitals and health facilities that utilize the latest technology. Myomectomy surgery is a procedure that can be performed skillfully by the medical staff whose priority is always the well-being of the patients in Turkey.

Candidates:	People who have unhealthy fibroids
Procedure:	The removal of uterine fibroids
Anesthesia:	General or monitored anesthesia

Scars:	Mostly not visible
Pain:	Mild or severe pain

FAQ

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Is myomectomy a major surgery?

While laparoscopic and hysteroscopic myomectomy surgeries are less invasive, abdominal myomectomy can be considered a major surgery since it is an open surgery.

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How long does a myomectomy take?

It depends on the type of myomectomy type and can be listed as:

Hysteroscopic myomectomy - less than 90 minutes
Robotic-assisted or laparoscopic myomectomy - about 3-4 hours
Abdominal myomectomy - up to 2-3 hours

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How long does the bleeding last after myomectomy?

1-2 weeks of bleeding or vaginal discharge is expected after the surgery.

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Is myomectomy safe?

It is mostly considered safe but it should be noted that every surgical procedure might bring risks even though they are rare.

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Does myomectomy cause infertility?

Myomectomy is not considered to cause fertility in general since it provides a chance of pregnancy since only fibroids are removed while the uterus and ovaries are left in the body. However, the possibility of bearing a child also depends on the remained amount of fibroids after the surgery.