Surgery Overview
Myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and preserves fertility. Methods used include:
Hysteroscopy.
Laparoscopy.
Laparotomy.

The method used will depend on the:
Size, location, and number of fibroids.
Hysteroscopy may be used to remove small fibroids that protrude into the inner surface of the uterus.
Laparoscopy may be used to remove one large or several small fibroids.
Laparotomy may be used to remove several large or many small fibroids.
Need to correct urinary or bowel problems. If these problems are present, laparotomy is usually needed.

What To Expect After Surgery
The length of time you may spend in the hospital varies.
Hysteroscopy is an outpatient procedure.
Laparoscopy may be an outpatient procedure or require a stay of 1 day.
Laparotomy requires an average stay of 1 to 4 days.
Recovery time depends on the method used for the myomectomy:

Hysteroscopy requires from a few days to 2 weeks.
Laparoscopy requires 2 to 4 weeks.
Laparotomy requires 4 to 6 weeks.

Why It Is Done
Myomectomy preserves the uterus. It may be an appropriate treatment option if you want to have children and have:

Anemia that is not relieved by treatment with medication.
Pain or pressure that is not relieved by treatment with medication.
Fibroids that may be causing infertility or frequent miscarriages (rare).

How Well It Works
Myomectomy decreases menstrual bleeding and pelvic pain.
Healthy pregnancies are common following myomectomy. However, if the myomectomy is done on the inside of the uterus, cesarean section may be required for delivery. 1

Fibroids may return after surgery.
25% of women have regrowth of fibroids within 5 years.
15% of women who give birth after myomectomy have regrowth of fibroids within 10 years. 4
30% of women have regrowth within 10 years (30%).
Regrowth risk is lower when a single fibroid is removed.
Regrowth risk increases until menopause is completed.
?BR>Risks
Risks include the following:
Infection of the uterus, fallopian tubes, or ovaries (pelvic infection) may occur.
Removal of intramural fibroids may cause scar tissue (adhesions).
In rare cases, scarring from uterine incision may cause infertility.
In rare cases, injuries to the bladder or bowel, such as a bowel obstruction, may occur.
In rare cases, uterine scars may rupture in late pregnancy or during delivery.

What To Think About
When incisions have been made into the uterine wall to remove fibroids, the uterus may not function normally during labor, and a cesarean section (C-section) may be needed.
Complete the surgery information form to help you prepare for this surgery.