What is myomectomy surgery?

A myomectomy is removal of fibroids from the walls of the uterus.

Myomectomy surgery is the surgical removal of leiomyomas (fibroids) from the uterus, leaving the uterus in place. This can be accomplished using an abdominal, laparoscopic, robot-assisted laparoscopic, or hysteroscopic (through the cervix) approach. The approach depends on the size of the fibroids involved and their location within the uterus. A myomectomy is contraindicated in women in whom leaving the uterus is not appropriate, such as if cervical or uterine cancer is present.

Dr. Alan B. Copperman, MD
Fertility Specialist

One of the most common causes of infertility in women, uterine fibroids are abnormal growths in the uterus that almost always are noncancerous. 40 percent of hysterectomies are performed for the treatment of uterine fibroids. New microsurgical techniques have been developed to make myomectomy a choice for some women. Myomectomy is a surgery that removes the fibroid tumor and leaves the female organs intact. Reconstruction of the uterus is often part of the procedure. Specialists who perform myomectomies can discuss whether or not this is a procedure to resolve your problem and whether or not the procedure can be done on an outpatient basis. Medications are another option for treating fibroid tumors in some women. Prescription medications are available that can shrink the size of the fibroid and lessen heavy bleeding and pain. These medications can be used for a limited period of time and require careful monitoring by a physician.

With a myomectomy operation, the surgeon cuts away large uterine fibroids (myomas), common noncancerous tumors of the uterine musculature, without removing the uterus, so that a woman can maintain her ability to bear children. Removal of the fibroids tends to weaken and scar the uterine wall, so future deliveries may have to be performed by cesarean section. Myomectomy may not be recommended for women who do not desire future fertility or who are menopausal.

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Dr. Kevin W. Windom, MD
OBGYN (Obstetrician & Gynecologist)

Myomectomy is the name of a surgery that removes (ectomy) fibroids (myoma) from a woman's uterus. Classically this is done with a "bikini" incision and once the fibroid is removed then the uterus is reconstructed. If the uterine cavity is entered then the patient will need a C-section at the time of delivery. Many women have pain, heavy bleeding, or infertility as a result of fibroids.

A myomectomy can be performed laparoscopically - but this is a very difficult procedure and I am only able to remove small fibroids this way. Now that the daVinci robot is available, I have been able to remove multiple fibroids and ones as large as 13cm in diameter (cantaloupe size).
If the fibroid is inside the uterine cavity then it can be removed hysteroscopically.

If you are facing this problem demand that your healthcare provider perform this surgery in a minimally invasive manner or refer you to someone who can give you that option as long as it is a safe and realistic alternative.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.