Treating Fibroids – Which Type of Myomectomy is RIGHT for You?
July 17, 2023
Wondering which type of myomectomy is right for you? Myomectomy is a surgical procedure to remove uterine fibroids while preserving the womb.
For many years, this is the form of treatment women have for fibroids if their medication did not work. This is particularly true if removing the womb entirely is not an option.
Several types of myomectomy are available, each with its benefits and risks.
In this post, let’s examine the different types of myomectomy available and which type may benefit you.
Treatment choice depends on factors such as the fibroids’ size, number, and location, as well as your reproductive goals and overall health.
So now we’ve seen what affects your treatment choice, here are the different types of myomectomy we use commonly:
This is the traditional and oldest method where the doctor makes a cut in the abdomen, similar to a cesarean section. The fibroids are then removed through the cut.
Benefits of abdominal myomectomy include the ability to remove large fibroids and the possibility of repairing the uterus if necessary.
However, it is an invasive procedure with a longer recovery time and a higher risk of complications such as infection and blood loss. This method is still useful for large fibroids.
This procedure is performed using a laparoscope. A laparoscope is a thin, lighted instrument inserted through small cuts in the abdomen.
The surgeon observes the fibroids on a screen and removes them with specialized instruments.
Laparoscopic myomectomy offers the advantage of smaller incisions, reduced blood loss, shorter hospital stay, and faster recovery compared to abdominal myomectomy. However, it may not be suitable for removing larger or deeply embedded fibroids.
Next is the robotic-assisted myomectomy. And it is a variation of laparoscopic myomectomy where the surgeon controls robotic arms to perform the surgery.
The robotic system provides improved access to remove the fibroids carefully with minimal damage to the womb around them.
This is useful for more complex procedures. The benefits and risks are similar to laparoscopic myomectomy, but robotics can sometimes improve surgical outcomes.
Hysteroscopic Myomectomy removes fibroids within the womb cavity or just under the womb lining, i.e., submucosal fibroids.
A hysteroscope, a thin tube with a camera, is inserted into the womb through the vagina and cervix. The fibroids are visualized and removed using specialized instruments.
Hysteroscopic myomectomy is a minimally invasive procedure with no external incisions, shorter recovery time, and minimal scarring.
However, it is only suitable for certain fibroids and may not be effective for larger or deeply embedded fibroids.
Each method has benefits and risks, and the choice also depends on individual circumstances.
Factors that may influence the selection of a particular myomectomy method include:
Before we leave, what about the risk of fibroids returning following the myomectomy?
This is a genuine fear, and there is no way to predict whether or not it will happen after any individual surgery.
According to a 2021 study:
Around 15–33% of fibroids recur after myomectomy.
Of these, around 10%-21% of women undergo a hysterectomy within five to ten years.
The rates at which they return and time from surgery vary widely and include the following:
It’s essential to consult with a gynaecologist or a specialist to evaluate the circumstances and determine the most suitable myomectomy approach for an individual case.
Editing by AskAwayHealth Team
All AskAwayHealth articles are written by practising Medical Practitioners to help promote quality healthcare. The advice in our material is not meant to replace a qualified healthcare practitioner’s management of your specific condition.
Please get in touch with a health practitioner to discuss your condition, or reach us directly here.
Image Credits: Canva
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