Frequently Asked Questions
1. Is myomectomy considered a major or minor procedure?
The treatment to remove fibroids (non cancerous tumors) from the uterus is known as a myomectomy. Any surgery that necessitates an overnight or extended stay in the hospital, requires anesthesia, and involves the removal or alteration of a body part is classified as major surgery. As a result, myomectomy is a major surgery.
2. Is it possible to get a myomectomy at any age?
Medical literature says given the natural progression of myoma beyond menopause, myomectomy is a viable choice for women aged 40 and up who choose to keep their uterus.
3. How long do you have to stay in the hospital after myomectomy?
The length of time spent in the hospital is determined by the type of surgery and the patient's health. You can go home the same day if your surgery is done through the vaginal canal, with a laparoscope, or with robotic-assisted technology. If a big surgical cut or incision is made in the belly, you may need to stay in the hospital for 2 to 3 days under medical supervision.
4. What are the risks of myomectomy?
It's uncommon, but you can have an infection following a myomectomy. Antibiotics will be administered to you if this happens. After a myomectomy, it is typical to experience a fever, but this is usually due to tissue changes rather than infection.
A transfusion may be required if substantial bleeding occurs during a myomectomy, regardless of the type of operation. This is, once again, unusual. To avoid a transfusion, it is best to treat any anemia you may have before surgery.
5. What makes a myomectomy different from a hysterectomy?
Only the fibroids are removed during a myomectomy, leaving the uterus intact. This operation will allow you to have more children in the future. Periods will resume, hopefully lighter than they were prior to the removal of the fibroids. The procedure itself takes longer than a hysterectomy, and a myomectomy results in higher blood loss.
Women who have finished having children and do not wish to have periods in the future frequently opt for hysterectomy. Whether the cervix or the ovaries be removed as part of the hysterectomy procedure is one of the options. Hysterectomy can be done vaginally, abdominally, or laparoscopically (a less invasive method that uses small incisions).
6. Can fibroids reappear after a myomectomy?
After a myomectomy, new fibroids may form. Women who are younger and have a lot of fibroids are more likely to have more fibroids than women who are near menopause and have a few fibroids.
7. What are the advantages of laparoscopic myomectomy over other types of procedures?
Laparoscopy and robotic techniques are minimally invasive procedures that have numerous advantages over laparotomy. Complications are less common in women who have a laparoscopic or robotic myomectomy. They also have less blood loss, shorter hospital stays, faster recovery, and a lower chance of adhesion formation after surgery.
8. What can I expect after myomectomy?
Improvement in symptoms and fertility concerns are expected as a result of myomectomy. After the procedure, most women have relief from pelvic pain and heavy menstrual bleeding. A successful pregnancy has been reported in around half of the women who have had a myomectomy, especially following a laparoscopic treatment.
9. When may I start thinking about getting pregnant following my surgery?
It is recommended that you wait three to six months before attempting to conceive. This period is needed for the uterus to recover after the procedure.