Myomectomy

What is a Myomectomy?

A myomectomy is a fertility-preserving surgery to remove uterine fibroids while keeping the uterus intact. It’s the preferred treatment for women who:
Want to maintain pregnancy options
Have symptomatic fibroids (heavy bleeding, pain, infertility)
Prefer organ-sparing treatment over hysterectomy

Types

1. Laparoscopic..

• Minimally invasive (small incisions)
• Best for small to medium fibroids (≤8-10 cm)
• Recovery: 1-2 weeks

2. Robotic..

• Enhanced precision & 3D visualization
• Ideal for complex or multiple fibroids
• Recovery: 1-2 weeks

3. Hysteroscopic Myomectomy

• For submucosal fibroids (inside uterine cavity)
• No incisions—accessed via vagina/cervix
• Recovery: 1-3 days

4. Abdominal (Open Surgery)

• Large incision for giant fibroids (>10 cm)
• Recovery: 4-6 weeks

Success Rates & Fertility Outcomes

• Pregnancy rates post-surgery: 50-60% (varies by fibroid location/size)
• Fibroid recurrence: 10-30% (higher if multiple fibroids removed)
• Recommended wait before conception: 3-6 months