Myomectomy is a surgical procedure to remove fibroids from the uterus. This fibroid treatment option keeps the uterus intact so you can still bear children. In some cases, once the fibroids are removed, it becomes easier to sustain a pregnancy. Depending on the location of the fibroid removed, some women may need to have a Caesarean section to ensure the uterus stays intact during labor and delivery.
Depending on the type, size and location of the fibroid(s), myomectomy may be done by:
- Hysteroscopy: This outpatient procedure involves inserting a lighted viewing instrument through the vagina and into the uterus. Small instruments passed through the hysteroscope remove fibroids on the inner wall of the uterus. You'll likely go home the same day with instructions to rest at home for a few days; you may experience cramping and light bleeding as you recover.
- Laparoscopy: This minimally invasive surgery with small incisions in the abdomen is done in an HonorHealth hospital and requires a two- to four-week recovery time. During the operation it sometimes becomes necessary to switch to an abdominal myomectomy.
- Abdominal myomectomy, also known as open surgery: Your gynecologist makes an incision on the lower abdomen, removes the fibroid(s) and then stitches the uterus and abdomen. This is done in an HonorHealth hospital. You'll likely have a four- to six-week recovery time.