Overview
Myomectomy is a surgical procedure to remove uterine fibroids — also called leiomyomas. These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age.
The surgeon's goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike a hysterectomy, which removes your entire uterus, a myomectomy removes only the fibroids and leaves your uterus
Women who undergo myomectomy report improvement in fibroid symptoms, including decreased heavy menstrual bleeding and pelvic pressure.
Why it's done
Your doctor might recommend myomectomy for fibroids causing symptoms that are troublesome or interfere with your normal activities. If you need surgery, reasons to choose a myomectomy instead of a hysterectomy for uterine fibroids include:
- You plan to bear children
- Your doctor suspects uterine fibroids might be interfering with your fertility
- You want to keep your uterus
Risks
Myomectomy has a low complication rate. Still, the procedure poses a unique set of challenges. Risks of myomectomy include:
- Excessive blood loss
- Scar tissue
- Pregnancy or childbirth complications
- Rare chance of hysterectomy
- Rare chance of spreading a cancerous tumor
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Results
Outcomes from myomectomy may include:
- Symptom relief
- Fertility improvement
- Uterine artery embolization (UAE)
- Radiofrequency volumetric thermal ablation (RVTA)
- MRI-guided focused ultrasound surgery (MRgFUS)
