A health problem that afflicts many women is the growth of uterine fibroids, which we also call fibroids. Because of this, some people experience heavy bleeding during menstruation, unbearable abdominal pain, and the need to urinate frequently. These things can have a big impact on your daily life. So, if you are also suffering from these problems, it is very important for you to be aware of the Myomectomy surgery that removes these fibroids.
Simply put, what is this Myomectomy surgery?
Myomectomy is a surgical procedure that removes only the fibroids in your uterus without damaging it. Fibroids are benign tumors that grow from the muscle and connective tissue of the uterus. They can be one or more, of varying sizes, inside or outside the uterus.
The biggest advantage of myomectomy is that it does not remove the uterus, so you can still have future pregnancies, which is a good alternative to hysterectomy, which is the complete removal of the uterus.
In what cases is a myomectomy necessary?
Your doctor may recommend this surgery if you have symptoms like these due to fibroids:
- Long-term pain in the pelvic area (lower abdomen).
- Bleeding that occurs irregularly or between menstrual periods.
- Excessive bleeding during menstruation.
- Feeling of not being able to completely empty the bladder.
Especially if you are someone who hopes to have children in the future, this surgery, which removes only the cysts without removing the uterus, may be the best option for you.
What is the difference between Myomectomy and Hysterectomy surgeries?
Many people are confused about these two surgeries. Let's take a look at the main differences between the two. This will help you choose the one that is best for you, after talking to your doctor.
| Point of comparison | Myomectomy surgery | Hysterectomy surgery |
|---|---|---|
| What to remove | Only the fibroids in the uterus are removed, leaving the uterus intact. | The entire uterus is removed along with the fibroids. |
| Holy Mass | Menstruation will return after surgery. | After the surgery, menstruation stops completely. |
| Ability to have children | It is still possible to have children after surgery. | The ability to have children is lost after the surgery. |
Are there types of myomectomy surgery?
Yes, your doctor will determine the most appropriate surgical procedure for you based on the size, location, and number of your fibroids. There are three main types of surgery.
| Type of surgery | How to do it and description |
|---|---|
| Open Myomectomy | In this, a vertical or horizontal incision is made in the lower abdomen and the cysts are removed. This method is best for very large cysts. It takes about 4-6 weeks to heal. |
| Keyhole surgery (Laparoscopic or Robotic Myomectomy) | The cysts are removed through a few small incisions in the abdomen, and a camera and surgical instruments are inserted. Sometimes robotic technology is used for this. The recovery time is short (about 2-4 weeks). |
| Hysteroscopic Myomectomy | This procedure does not involve any incisions. A special camera-equipped device is inserted through the vagina into the uterus to remove the cysts. This can only be done if the cysts are in the right place inside the uterus. It takes a few days to heal. |
How is the recovery time after surgery?
Recovery time depends on the type of surgery you had. However, you may experience some pain for the first few days after surgery. Your doctor will prescribe painkillers for this.
- After an open myomectomy, it can take about 4-6 weeks to fully recover and resume normal activities.
- After a keyhole surgery (Laparoscopic Myomectomy) , you can usually go home the same day. It takes about 2-4 weeks to fully recover.
- Recovery after a hysteroscopic myomectomy only takes a few days.
Remember these things during recovery:
- There may be a small amount of blood or discharge from the vagina for a few weeks.
- Avoid sexual intercourse for 6 weeks after surgery.
- Avoid lifting heavy objects. Do not do heavy work until your doctor tells you to.
- Don't start your daily routine all at once, start slowly .
What are the risks of myomectomy surgery?
As with any surgery, there are some risks involved, but these are rare.
- Heavy bleeding
- Infections
- Blood clots
- Allergy to anesthesia
- Damage to surrounding organs
- If you become pregnant in the future, you may be at increased risk of having to deliver your baby by cesarean section (C-section).
Don't worry, the chances of these complications occurring are very low. And your medical team is doing their best to prevent these things from happening. Talk openly with your doctor about it.
When to see a doctor immediately
If you experience any of these symptoms after going home from surgery, notify your doctor immediately or go to the Emergency Department (ETU) of the nearest hospital.
- Excessive bleeding.
- Symptoms such as fever and chills.
- Severe pain that cannot be controlled even with painkillers.
- Chest pain or difficulty breathing.
- Swelling, redness, or pain in the legs.
Ultimately, fibroids are a treatable condition. Be open with your doctor about your symptoms, future plans (such as having children), and choose the treatment that works best for you.
Take-Home Message
- Myomectomy is a surgery that removes only the fibroids, leaving the uterus intact.
- This is a great option for women who are hoping to have children in the future.
- There are several types of surgery (laparotomy, keyhole, incisionless), and your doctor will determine the method that is best for you.
- As with all surgeries, there are minor risks, so be sure to discuss them with your doctor before surgery.
- Following medical instructions exactly during recovery is essential for a speedy recovery.
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