What is Myomectomy?

Myomectomy is a surgical procedure that removes uterine fibroids, i.e., the abnormal growths or tumors in the uterus. The procedure is generally recommended for patients experiencing severe pelvic pains, irregular bleeding, or frequent urination because of benign tumors in the uterus. Myomectomy is the ideal alternative to hysterectomy, a procedure wherein the entire uterus is removed. As such, women who intend to get pregnant in the future or retain their uterus for other purposes may want to consider a myomectomy instead of a hysterectomy.

You’re a Candidate for Myomectomy if You…

  • Have fibroids in your uterus.
  • Want to retain your uterus.
  • Experience severe pelvic pain.
  • Have heavy periods with irregular bleeding.
  • Experience frequent urination.

Dr. Bonni’s Myomectomy Procedure

The myomectomy procedure can be performed through an open surgery in the abdomen (abdominoplasty myomectomy), through the vagina or cervix (hysteroscopic myomectomy), or through small incisions on the abdomen using a laparoscope (laparoscopic myomectomy). Abdominal myomectomy is generally suitable for patients with very large fibroids, and hysteroscopic myomectomy is suitable for patients with fibroids inside the uterus.

However, Dr. Aram Bonni prefers laparoscopic myomectomy over the other techniques. That’s because laparoscopic myomectomy is a minimally invasive procedure that necessitates smaller incisions and doesn’t involve hospital stays. Laparoscopic myomectomy is also safer than other procedures with a lesser chance of complications. Dr. Bonni runs numerous tests, including MRIs and pelvic ultrasounds, to determine the ideal procedure for you.

Laparoscopic myomectomy is an outpatient procedure performed under general anesthesia. The surgeon makes four small incisions about ½-inch long in your lower abdomen. A laparoscope with a camera is inserted through one incision, and the surgical tools are inserted through the other incisions. In some cases, the surgery can also be performed robotically for greater precision.

Using laparoscopic guidance, the surgeon cuts the fibroids into small pieces and removes them one-by-one. If the fibroids are too large, the surgeon may need to make larger incisions or perform an abdominal myomectomy. Once the fibroids are removed, the surgeon will remove the surgical tools and close the incisions.

Recovering from Your Myomectomy

You’ll experience some pain and discomfort after the surgery, but you’ll be prescribed some pain medications. It’s common to experience spotting for a few days or weeks. Most patients recover from a laparoscopic myomectomy in two to four weeks. During this period, you shouldn’t engage in sexual intercourse, strenuous workouts, or heavy lifting activities. Most patients need to wait three to six months after the procedure before trying to get pregnant.

Risks of Myomectomy

Laparoscopic myomectomy is an extremely safe procedure, with a far less likelihood of complications than other surgeries. However, like all surgeries, it includes the following risks:

  • Nerve damage
  • Infection
  • Excessive bleeding
  • Uterine perforation
  • Scar tissues in the fallopian tube
  • Fertility problems
  • New fibroids

You must call the surgeon if you experience heavy bleeding, fever, severe pain, or breathing problems after the surgery.

Why Choose Dr. Bonni?

Dr. Aram Bonni is an incredibly talented, skilled, and compassionate reconstructive surgeon specializing in obstetrics and gynecology. He uses the latest techniques and technologies to ensure your myomectomy is safe and effective. You may schedule a consultation with Dr. Bonni to discuss your myomectomy options.