Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids. This procedure may preserve your uterus and your ability to have children.

Before your surgery

Depending on which procedure you and your health care provider choose, you may be asked to do the following:

  • Have tests that your health care provider has ordered.

  • Stop eating and drinking at midnight, or as recommended by your health care provider.

  • Take medicines as prescribed by your health care provider to shrink fibroids.

  • Stop taking aspirin or ibuprofen 2 weeks before surgery. Tell your health care provider what other medicines you take and ask whether you should stop them.

  • Arrange for a ride home after surgery.

Cross section of uterus and vagina showing fibroids in wall of uterus. Dotted lines around fibroids show they will be removed. Closeup of instrument removing fibroid from wall of uterus from outside. Label reads: With abdominal and laparoscopic myomectomy, fibroids are removed through abdominal incisions. Closeup of instrument inserted into uterus through cervix removing fibroid from inside uterus. Label reads: With hysteroscopy, fibroids are removed through the vagina.

Types of myomectomy procedures

Abdominal

Your health care provider makes incisions in your stomach and uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.

Laparoscopic

Your health care provider inserts a laparoscope and other surgical instruments through half-inch incisions in your stomach. One or more incisions are made in your uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.

Hysteroscopic

A hysteroscope is inserted into the vagina. An instrument is used to remove the fibroids from your uterus.

Call your health care provider

Contact your health care provider right away if you have any of the following:

  • Severe or increasing pain

  • Fever or chills

  • Nausea or vomiting

  • Redness or swelling around your incision

  • Persistent or heavy vaginal bleeding



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