Myomectomy - Surgery, Procedure, Complications, Results

Myomectomy

Treatment Duration

clock

45 Minutes

------ To ------

55 Minutes

Treatment Cost

rupee

40,000

------ To ------

1,20,000

WhatsApp Expert
Myomectomy

Book Appointment for Myomectomy

According to a study by Choudhary et al., 2023, uterine fibroids affect up to 40% of women. Myomectomy is a surgical procedure to remove these fibroids while preserving the uterus. This makes it an ideal option for women seeking relief from symptoms without compromising their fertility. 

If you are considering uterine fibroids treatment, myomectomy can be a recommended option. To know more about the procedure, risks, benefits, and recovery of this surgery, continue reading. 

Procedure Name 

Myomectomy 

Conditions Treated 

Uterine fibroids 

Benefits of the Procedure 

Symptom relief, improved fertility, minimally invasive options 

Treated By 

Gynaecologic surgeon 

You can check Myomectomy Cost here.

What is myomectomy?

Myomectomy is a surgical procedure performed to remove uterine fibroids, also called leiomyomas. These are non-cancerous growths of tissue that develop in the uterus. Unlike a hysterectomy, which involves removing the entire uterus, myomectomy preserves the uterus while addressing fibroid symptoms. 

Depending on the size, number, and location of the fibroids, myomectomy surgery can be performed through various techniques. These include abdominal, laparoscopic, or hysteroscopic procedures. 

Anatomy and Physiology of the Uterus

The uterus is a pear-shaped organ in the pelvis between the bladder and the rectum. It has a crucial role in reproduction, as this is where a fertilised egg implants and develops into a foetus during pregnancy. The anatomy of the uterus is as follows: 

  1. It consists of three main parts, which are the fundus (upper portion), the corpus (main part), and the cervix (lower narrow part).

  2. The inner lining of the uterus is the endometrium, which thickens and sheds during the menstrual cycle.

  3. The muscular layer of the uterus is called the myometrium and is responsible for contracting during labour. 

  4. The outermost protective layer of the organ is known as the perimetrium.

Need for Myomectomy

The need for a myomectomy arises when uterine fibroids cause symptoms that significantly affect a woman’s quality of life or reproductive health. Common indications for this procedure include:

  1. Symptoms such as heavy menstrual bleeding, irregular bleeding, pelvic pain, and urinary problems 

  2. Infertility problems caused by fibroids 

  3. The ability to conceive and bear children

Myomectomy Procedure

The exact duration of myomectomy surgery can vary depending on the type of procedure and the number of fibroids. It generally takes two to three hours. Performed under general anaesthesia, it involves the following: 

  1. Abdominal Myomectomy: Also known as open myomectomy, this traditional approach may be recommended for larger fibroids or when multiple fibroids are present.

    1. It involves making an incision in the abdomen, either a horizontal ("bikini") or vertical incision, to access the uterus. 

    2. The surgeon removes the fibroids from the uterine wall and closes the incision. 

  2. Laparoscopic Myomectomy: It is a minimally invasive approach that involves four small incisions in the abdomen. 

    1. The surgeon inserts a laparoscope (a thin, lighted tube with a camera) and surgical instruments through these incisions. 

    2. They cut the fibroids into smaller pieces to remove them through the vagina or abdominal openings. 

    3. In some cases, robotic arms are used to control the movements of instruments (robotic myomectomy).

  3. Hysteroscopic Myomectomy: This procedure is performed through the vagina and cervix without any external incisions. It is ideal for treating submucosal fibroids (that bulge into the uterine cavity).

    1. A hysteroscope (a thin tube with a camera) is inserted through the cervix into the uterus. 

    2. A liquid is inserted into the uterus to expand the uterine cavity. 

    3. The surgeon uses a wire loop to remove fibroids that are located within the uterine cavity. 

Note: The treatment approach is selected based on the size, number, and location of uterine fibroids. 

Expert Doctors

Infertility and IVF, Obstetrics And Genecology

19+ Years

Experience

97%

Recommended

Obstetrics And Gynaecology

25+ Years

Experience

97%

Recommended

NABH Accredited Hospitals

Akanksha IVF Centre, Janakpuri
JCI
NABH

Akanksha IVF Centre, Janakpuri

4.94/5(80 Ratings)
Janakpuri, Delhi
Alpine Hospital
JCI
NABH

Alpine Hospital

4.91/5(91 Ratings)
Sector 15, Gurgaon
Calculate Surgery Cost
Calculate Insurance Coverage

Before and on the Day of Myomectomy

Patients preparing for fibroid surgery will receive specific instructions from their gynaecologist or surgeon to ensure a smooth operation. The guidelines before and on the day of the procedure include:

Before Myomectomy 

Individuals who smoke will be asked to quit smoking six to eight weeks before surgery. Medication for uterine fibroids and other preparations before myomectomy are as follows: 

Parameters 

Pre-requisites 

Pre-op Assessments 

  1. Blood tests 

  2. MRI scans 

  3. Pelvic ultrasound 

Risk Evaluation 

  1. Allergies 

  2. Benefits vs risks 

Medications 

  1. Take gonadotropin-releasing hormone agonists to shrink the size of fibroids 3-4 months before surgery

  2. Stop taking blood-thinning medications 

Anaesthesia Selection 

General

Fasting 

6-8 hours before surgery 


On the Day of Myomectomy 

Patients should plan to arrive at the hospital before the scheduled time for their myomectomy procedure. This allows them to complete any necessary paperwork efficiently. Once they arrive, they will be prepped for surgery, which includes the following: 

Parameters 

Pre-requisites 

Consent 

Mandatory 

Surgical Preparation 

  1. Changing into a hospital gown 

  2. Shaving the surgical area 

Physical Evaluation 

Vitals check-up (heart rate, blood pressure, breathing, etc.)

IV Line 

Yes, for fluids and medications 

Patient Positioning 

Supine (lying on the back) with feet held in gynaecological stirrups  

After Myomectomy and Recovery

It is expected to experience vaginal spotting or straining after the procedure. This can last up to six weeks, depending on the type of myomectomy. Patients can generally manage these symptoms by following the instructions provided by their doctor. 

Recovery in the Hospital 

The duration of hospital stay depends on the type of procedure the patient has undergone. They may go home the same day after hysteroscopic or laparoscopic myomectomy but might need 1-2 days in the hospital post-abdominal surgery. During this stay, individuals can expect the following: 

  1. After the surgery, patients are closely monitored in the recovery room until they wake from anaesthesia. The medical staff check their vital signs, pain levels, and potential complications like bleeding. 

  2. Patients receive pain medication as needed to manage discomfort.

  3. They are encouraged to move and walk around as soon as they feel comfortable to prevent blood clots and promote circulation.

At-home Recovery 

Recovery from myomectomy depends on the surgery type. Patients undergoing hysteroscopic myomectomy can expect to recover within two days. After laparoscopic procedures, individuals need two to three weeks to return to normal activities. Open surgery takes four and six weeks for recovery. During this period, it is important to follow these guidelines: 

  1. Continue to take pain medication as prescribed to manage discomfort at home.

  2. Avoid strenuous activities or heavy lifting for the first week after surgery or longer for open myomectomy. 

  3. Refrain from sexual intercourse for six weeks. 

  4. Wait 3-6 months before trying to conceive. 

First Follow-Up Appointment 

After fibroid removal surgery, patients will have a follow-up visit with their surgeon in two to six weeks to monitor recovery. 

Additionally, they will undergo pelvic exams and ultrasounds at three months, six months, and one-year post-surgery. If no new fibroids are detected after one year, the doctor will suggest annual check-ups.

Benefits of Myomectomy

According to Khaw et al., 2020, 75.6% of women suffering from fibroids became pregnant after myomectomy. The significant benefits that make it a preferred procedure are as follows: 

  1. Fertility Preservation: Myomectomy helps women have children in the future because it removes fibroids while leaving the uterus intact. It can improve fertility outcomes within one year of the procedure. 

  2. Symptom Relief: By removing fibroids, myomectomy effectively alleviates symptoms such as heavy menstrual bleeding, pelvic pain and pressure. 

  3. Minimally Invasive Options: It can be performed using less invasive techniques such as laparoscopic or hysteroscopic myomectomy. These approaches involve smaller incisions, shorter hospital stays, and faster recovery than traditional open surgery.

Risks and Complications of Myomectomy

According to a study by Alharbi et al., 2020, the complication rate after myomectomy was 9.5%. The risks can vary depending on the type of surgery performed and may include the following: 

  1. Excessive bleeding 

  2. Infection at the incision site 

  3. Formation of scar tissue at the site of fibroid removal, which can affect fertility 

  4. Damage to nearby organs like the bladder 

  5. Weakened uterine walls that may require future pregnancies to be delivered via cesarean section 

  6. New fibroids that require another procedure 

When to call a doctor?

After a myomectomy, it is important to monitor any signs of complications. Patients should contact their doctor if they experience the following symptoms: 

  1. Fever above 100.4℉

  2. Severe pain that does not improve with medications 

  3. Heavy bleeding

Risks of Delaying Myomectomy

Delaying a myomectomy when required can lead to several complications associated with the continued growth of fibroids. The following are some of the risks involved:

  1. Increased Symptoms: These include heavy menstrual bleeding, pain, and pressure that significantly impact quality of life and lead to conditions such as anaemia.

  2. Fertility Issues: Larger fibroids can change the shape of the uterus, affecting fertility and the ability to carry a pregnancy to term. However, this risk is rare. 

  3. Complications During Pregnancy: If pregnancy occurs before treatment, larger fibroids might lead to certain complications. These include placental abruption (the placenta separates from the uterus), foetal growth restriction, and preterm labour.

Cost of Myomectomy 

The fibroid surgery cost in India can vary widely based on several factors. It generally starts from ₹ 40,000 and reaches ₹ 1,20,000. The average expense of the procedure is ₹ 90,000. 

Procedure Name 

Estimated Cost Range 

Myomectomy 

₹ 40,000 to ₹ 1,20,000

Note: For the accurate cost of the procedure, patients should consult HexaHealth experts. 

Factors that affect the price of myomectomy include: 

  1. Type of Myomectomy: The surgical approach used significantly affects the cost. Laparoscopic and robotic myomectomies are more expensive due to the advanced technology and equipment required.

  2. Surgeon’s Expertise: Highly skilled surgeons specialising in minimally invasive gynaecological surgeries charge more for their services.

  3. Hospital Fees: Private facilities are costlier than public ones because of better amenities. Additionally, expenses can vary based on the location. Hospitals in urban areas have higher rates than those in rural areas.

  4. Hospital Stay: Longer stays in the hospital lead to higher overall costs. This duration depends on the type of myomectomy performed and the patient’s recovery.

  5. Insurance Coverage: Whether or not the patient’s health insurance covers the procedure can impact the out-of-pocket expenditure.

Takeaway

By removing uterine fibroids, myomectomy helps alleviate symptoms like heavy menstrual bleeding and pelvic pain. This option is particularly beneficial for those who wish to preserve their fertility. Recovery times vary, but most women see significant improvements in their overall quality of life after surgery.

At HexaHealth, we can help you access the best treatment for fibroids in your city. Our team provides personalised care, from hospital admissions to post-operative care. With expert doctors and state-of-the-art facilities, we are committed to ensuring you receive the highest standard of care. 

Suggested Reads

Laparoscopic Fibroid Removal
Uterine Fibroids
Hysterectomy
Laparoscopic Hysterectomy
 

Frequently Asked Questions (FAQ)

Myomectomy is a surgical procedure that removes uterine fibroids (benign tumours in the uterus) while preserving the uterus itself. This makes it a preferred option for women seeking to maintain fertility and alleviate fibroid-related symptoms.

WhatsApp

Myomectomy for uterine fibroids treatment is needed to relieve symptoms such as heavy menstrual bleeding, pelvic pain, and pressure. It is also performed in the following situations: 

  1. Fibroids cause problems with fertility 

  2. Women want to keep the uterus or bear children

WhatsApp

A myomectomy can be performed through various techniques depending on the size, location, and number of fibroids. Methods include:

  1. Abdominal myomectomy (open surgery)

  2. Laparoscopic myomectomy (minimally invasive)

  3. Hysteroscopic myomectomy (via the vagina and cervix)

WhatsApp

New treatment for fibroids without surgery cannot cure the condition. However, it can shrink them and ease symptoms. These options include: 

  1. Medicines like gonadotropin-releasing hormone agonists 

  2. Uterine artery embolisation 

  3. MRI-guided focused ultrasound treatment

WhatsApp

Uterine fibroids treatment includes surgical removal through a myomectomy or a hysterectomy. The former is performed for those wishing to preserve the uterus, while the latter is for complete removal. 

WhatsApp

Fibroids recur in about 15% of patients within two years after myomectomy. It depends on factors like individual hormonal levels and the initial number and type of fibroids removed.

WhatsApp

A hysterectomy is the only method to cure fibroids. Myomectomy and other therapies can reduce symptoms and shrink fibroids, but there is always a possibility of recurrence.

WhatsApp

 Removing fibroids without surgery can be done through noninvasive or minimally invasive methods. These include: 

  1. MRI-guided focused ultrasound to destroy fibroid tissue 

  2. Uterine artery embolisation which blocks blood flow to fibroids, causing them to shrink

WhatsApp

Myomectomy is generally considered safe. However, like any other surgery, it has certain risks, including: 

  1. Significant bleeding 

  2. Infection

  3. Formation of scar tissue 

  4. Complications in future pregnancies

WhatsApp

Recovery from myomectomy can vary from two days to six weeks, depending on the type of procedure. The shortest recovery period follows hysteroscopic surgery and the longest after abdominal myomectomy.

WhatsApp

Laparoscopic myomectomy is often preferred over traditional surgery due to smaller incisions, shorter hospital stays, and faster recovery. However, it might not be suitable for very large or numerous fibroids.

WhatsApp

Medication for uterine fibroids, like gonadotropin-releasing hormone agonists, can take three months to shrink these non-cancerous growths by targeting hormones. However, they do not provide a permanent solution. They are used to improve surgical outcomes or manage symptoms.

WhatsApp

The success rate of myomectomy for treating fibroid symptoms is high, with most patients experiencing significant relief from pain and bleeding. However, about 10% of women may need a hysterectomy within 5-10 years after a myomectomy.  

WhatsApp

Though rare, there is a possibility of long-term effects or complications after myomectomy. These include: 

  1. Scar tissue formation 

  2. Fertility issues 

  3. Fibroid recurrence, which might require additional treatment

WhatsApp

Women can usually conceive as soon as three to six months after myomectomy, once complete healing has occurred. They can expect good pregnancy outcomes within one year after the surgery. 

WhatsApp

The fibroid surgery cost varies widely, typically ranging from ₹ 40,000 to ₹ 1,20,000. It depends on the hospital, the surgeon’s expertise, and the type of surgery performed. Patients are advised to contact HexaHealth consultants for accurate prices. 

WhatsApp

The myomectomy surgery cost can vary based on several factors. These include but are not limited to the following: 

  1. Type of procedure (hysteroscopic, laparoscopic, or abdominal)

  2. Hospital fees

  3. Surgeon's expertise

  4. Geographic location

  5. Insurance coverage

WhatsApp

Yes, myomectomy is covered under insurance. However, coverage can vary depending on the policy. Patients should consult HexaHealth experts to understand their plan details. 

WhatsApp

Myomectomy is not recommended for all fibroids. It is best suited for women who:

  1. Have symptoms

  2. Wish to maintain fertility

  3. Have fibroids in locations that affect fertility (inner lining of the uterus, fallopian tubes, etc.)

WhatsApp

Recovery after fibroid removal surgery can differ depending on the type of procedure. During this period, patients can expect pain and discomfort, limited physical activity, and a need for rest. Complete healing can take 4-6 weeks. 

WhatsApp

References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. Cleveland clinic. Uterus: Anatomy, Function, Size, Position & Conditions [Internet]. Cleveland Clinic. 2022. link
  2. Myomectomy [Internet]. www.hopkinsmedicine.org. 2022.link
  3. Mayo Clinic. Myomectomy - Mayo Clinic [Internet]. Mayoclinic.org. 2019.link
  4. Watson S. What to Expect from Myomectomy [Internet]. Healthline. Healthline Media; 2018.link
  5. Myomectomy - Surgery for Uterine Fibroid Removal [Internet]. WebMD. link
  6. Myomectomy | Uterine Fibroids Treatment | What to Expect [Internet]. IU Health.link
  7. Margueritte F, Adam C, Fauconnier A, Gauthier T. Time to conceive after myomectomy: should we advise a minimum time interval? A systematic review. Reproductive BioMedicine Online. 2021 May;link
  8. Fibroid Treatment Options - Brigham and Women’s Hospital [Internet]. www.brighamandwomens.org.link
  9. Fibroid Surgery for Uterine Fibroid Symptoms | University of Utah Health [Internet]. healthcare.utah.edu. 2022 [cited 2024 Apr 30].link
  10. Cleveland Clinic. Uterine Fibroids: Causes, Symptoms & Treatment [Internet]. Cleveland Clinic. 2020.link
  11. Uterine Myomectomy - an overview | ScienceDirect Topics [Internet]. www.sciencedirect.com.link
  12. Alharbi AA, Alshadadi F, Alobisi A, Alsobai A, Felimban O, Hudairi H, et al. Intraoperative and Postoperative Complications Following Open, Laparoscopic, and Hysteroscopic Myomectomies in Saudi Arabia. Cureus. 2020 Mar 1;link
  13. Mayo Clinic. Uterine Fibroids [Internet]. Mayoclinic.org. 2018.link

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

Author

Sangeeta Sharma

Sangeeta Sharma

BSc. Biochemistry I MSc. Biochemistry (Oxford College Bangalore)

6 Years Experience

She has extensive experience in content and regulatory writing with reputed organisations like Sun Pharmaceuticals and Innodata. Skilled in SEO and passionate about creating informative and engaging medical conten...View More

Book Appointment for Myomectomy

Other Treatments in Your City

get the app
get the app