This surgery involves the removal of an abnormal growth of non-cancerous (benign) tissue from a woman's uterus or womb.
The female reproductive system has two ovaries, two fallopian tubes and a uterus (womb).
Uterine fibroids are noncancerous (benign) growths that can grow:
These fibroids can vary widely in size and symptoms they cause. Often, they do not cause any symptoms.
A myomectomy is surgery to remove one or more fibroids from a women's uterus. The uterus itself is not removed. The fibroid(s) can be removed through an incision in the lower abdomen along the bikini line (straight across or horizontal) or in the area of the belly button (straight down or vertical). The type of incision depends on the:
This care path contains the costs of a myomectomy done through an open incision. However, there are times when the surgeon can perform a myomectomy through a laparoscope. In those cases, the fibroid is removed using small medical instruments and a camera inserted into three or four small cuts in the abdomen.
You and your healthcare provider should discuss the reasons for the myomectomy and what alternative treatments might be available to you.
Uterine fibroids are very common in women who still have their periods. They often shrink after menopause begins, which makes monitoring them with periodic pelvic exams an option for some women. Other treatment options include:
The treatment option that is best for you may depend on a number of factors including:
The majority of uterine fibroids do not require surgical treatment. Often, a course of non-surgical treatment is recommended before surgery. However, surgery may be needed if you have:
Contact your healthcare provider if you have any of these symptoms. He or she will perform a physical exam, including an internal exam (pelvic exam) to check the uterus and other pelvic organs. Tests may be ordered, including:
Your healthcare provider may recommend removal of your uterine fibroids if you have severe symptoms that cannot be controlled with medication or non-surgical treatments. Prior to surgery, tell your healthcare provider about any medications you are taking (including over-the-counter medications and supplements). Ask about specific instructions you should follow before surgery. These may include:
If you are a smoker, you should quit smoking, as it can interfere with your recovery.
During your surgery, you will receive anesthesia to keep you comfortable and pain free.
Contact your healthcare provider if you have symptoms of endometriosis. Be prepared to discuss your symptoms and how long you have had them.
Instructions (including medications and side effects) and follow-up plans. Your gynecologist should also let your primary care physician know the details of your surgery and treatment plan.
What should I ask my healthcare provider before having a myomectomy?
Before you go home, make sure you understand all home care instructions (including medications and side effects) and follow-up plans. Your gynecologist should let your primary care physician know the details of your surgery and treatment plan.
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