About Myomectomy Surgery
Myomectomy is a surgical procedure which preserves the uterus while removing fibroids, which are benign (noncancerous) growths located in the smooth muscle tissue of the walls of the uterus, or womb.
- Myomectomy is intended to decrease pelvic pain and bleeding caused by fibroids. Women treated with myomectomy may still be able to have children after surgery.
- Fibroids are extremely common. By age 50, approximately 80% of African-American women and approximately 70% of Caucasian women will have had fibroids.330
- Recurrence of fibroids. After myomectomy, 27% of women, on average, experienced the return of fibroids. If multiple fibroids were removed, they were more likely to recur.374
The only way to permanently prevent new fibroids from growing is with a hysterectomy, the surgical removal of the uterus. As a major surgery, it should only be considered after all other options have been explored.
Reasons for Myomectomy
Myomectomy treats fibroids for reasons such as:
- Fibroid growth caused the wall of the uterus to change, which may cause infertility orrepeat miscarriages
- In vitro fertilization is planned. Myomectomy may be done before the procedure to improve the chances of pregnancy.374
- Treatment with medicine has not relieved anemia or pain
- Urinary or bowel problems need to be corrected, without causing organ damage
Pregnancy and Myomectomy
- Myomectomy may increase your chances of concieving or carrying a baby but thereare no guarantees.
- If a certain kind of fibroid is present (a submucosal fibroid), your chances of pregnancy could improve. However, if you have other types of fibroids, it is not likely myomectomy will help improve your chances.373
- Depending on incision location and size from the myomectomy, a cesarean section (C-section) may be needed to safely deliver the baby.