Frequently Asked Questions
What is Myomectomy?
Myomectomy is the surgical removal of fibroids present on the uterine wall. These fibroids are called leiomyomas. These are the noncancerous growths which appear in the uterus, mostly during the childbearing years. This surgery helps in removing the fibroids which cause symptoms and also to reconstruct the uterus. There are three types of Myomectomy. They are as follows:
- Abdominal Myomectomy
- Hysteroscopic Myomectomy
- Laparoscopic Myomectomy
In Abdominal Myomectomy, the surgeon removes the fibroids through an open cut in the belly.
In Hysteroscopic Myomectomy, a special instrument is used to remove the fibroids through the vagina and cervix.
In Laparoscopic Myomectomy, the fibroids are removed through small incisions. In this method, the recovery is fast and small incisions are made.
What are the advantages of Myomectomy?
The following are the advantages of Myomectomy:
- The surgery does not involve the removal of the complete uterus.
- Hysteroscopic Myomectomy and Laparoscopic Myomectomy are minimally invasive surgeries.
- Relief from the symptoms
What are the indications of Myomectomy?
The following are the indications of Myomectomy:
- Pelvic pain
- Heavy menstrual bleeding
- Frequent urination
- Irregular bleeding
What is the preparation for Myomectomy?
The following are the preparation steps for the Myomectomy:
- The patient may be asked about the present and past medical history and medication history.
- Inform the doctor if you are using any blood thinners or pain killers.
- The previous allergies or allergy to anesthesia should be discussed with the doctor.
- In certain cases, the doctor may prescribe some antibiotics before this procedure. Take the prescribed medicines without fail.
- The doctor may prescribe some urine tests prior to this procedure. Be ready with the test results before the procedure.
- Before going to this procedure, empty the bladder.
What is the postprocedure care/recovery care for Myomectomy?
The following are the post-care steps to be followed after Myomectomy:
- The patient may be shifted to the recovery room after the procedure.
- The patient's blood pressure, pulse rate, breathing will be monitored continuously.
- Medication may be given to reduce the pain.
- Follow all the instructions given by the doctor.
Who can perform Myomectomy [Right specialist type for Myomectomy]?
Myomectomy can be performed by a certified and skilled Gynaecologist who is well experienced in Myomectomy.
What is the cost of Myomectomy?
Cost of Myomectomy depends on factors such as:
- Admission fee
- Doctor fee
- Type of hospital
- Age of the patient
- Type of procedure
- The medical condition of the patient
- Post-surgical complications that are involved
- The admission room that you opted for
- Any other lab tests or examination tests such as scanning, etc.
Minimum charges in Mumbai starts from Rs.41,800
Average cost in Mumbai is approximately Rs.74,800
Maximum price in Mumbai may rise up to Rs.1,03,400
Is Myomectomy a major surgery or minor surgery?
Abdominal Myomectomy is major surgery as it involves an open cut on the abdomen. The Hysteroscopic Myomectomy and Laparoscopic Myomectomy are minimally invasive surgeries.
What is the eligibility criteria for Myomectomy?
The following are the eligibility criteria for Myomectomy:
- Women with fibroids who desire to become pregnant in the future.
- Women who are unwilling to remove the entire uterus.
- Women eligible for abdominal myomectomy are the ones who have very large fibroids.
- Women eligible for laparoscopic myomectomy are the ones with smaller and very fewer fibroids.
- Women eligible for hysteroscopic myomectomy are the ones with smaller fibroids.
What is the ineligibility criteria for Myomectomy?
The following are the ineligibility criteria for Myomectomy:
- Patients with a weak immune system.
- Patients with an active infection at the site of operation.
What are the risks and complications associated with Myomectomy?
The following are the risks involved in Myomectomy:
- Damage to the nearby organs
- Hole in the uterus
- Excessive bleeding
- Scarring of the tissue
How long does it take to complete Myomectomy?
The duration of Myomectomy depends on the type of procedure. The open surgery may take a longer duration than laparoscopic and hysteroscopic myomectomy.
What is the recovery time?
The recovery time for abdominal myomectomy is 4-6 weeks.
The recovery time for abdominal myomectomy is 2-4 weeks.
The recovery time for hysteroscopic myomectomy is 2-3 days.
What is the success rate of Myomectomy?
The success rate of Myomectomy depends on:
- The type of procedure
- Age of the patient
- Health condition of the patient
However, the success rate of Myomectomy is 88%.
Is Myomectomy painful?
Every surgery comes with a certain level of pain and some discomfort. You won't be experiencing pain during this process because you will be under general anesthesia.
Is Myomectomy permanent?
Myomectomy is not a permanent procedure as the fibroids may occur again on the uterine wall.
What are the long-term results of Myomectomy?
The long-term results of Myomectomy are:
- Improved symptoms
- Sometimes there may be a recurrence of the fibroids
Can Myomectomy be detected in the future?
The detection of Myomectomy in the future depends on the type of procedure. Abdominal open myomectomy may be detected in the future due to the scars present.
What are the options if Myomectomy fails?
If Myomectomy fails then the doctor may sometimes suggest re-surgery.
What are the alternatives for Myomectomy?
The alternatives for Myomectomy are:
- Endometrial ablation
- Uterine fibroid embolization