What is a Myomectomy and how it can be treated?
However, removing fibroids with a myomectomy is an involved surgery – typically more difficult than a hysterectomy- and may result in severe blood loss. Also note that new fibroids may appear after it and that additional treatment may be required.
When is it used?
In general, myomectomy is used for women with symptomatic fibroids who wish to preserve their fertility. Approximately 80 percent of women will experience symptom relief following this surgery. The procedure is easier to perform on women with a few fibroids. The most difficult cases are those where many fibroids are diffused throughout the uterus.
Preoperative ultrasound will be performed to help the physician identify the size and location of the fibroids. The physician may recommend drug therapy with leuprolide (Lupron) prior to myomectomy to shrink the fibroids and reduce the possibility of blood loss. You may also wish to consider donating your own blood prior to surgery.
What are the risks of Myomectomy?
- Risks associated with general anesthesia
- Blood loss
- Weakening of the uterine wall – can occur when large fibroids are removed. Future pregnancies may require Caesarian section for delivery.
- Pelvic adhesions – may require further surgery.