What ıs Myomectomy?

Myomectomy is a surgical procedure that involves the removal of fibroids from the uterus. Fibroids are tumors that develop in the muscular layer of the uterus and are mostly benign (non-cancerous). These tumors can cause various symptoms depending on their size and location, but in some cases, they may not show any symptoms at all. In general, myomectomy is an effective surgical method used to eliminate problems caused by fibroids.

Types of Myomectomy

Myomectomy varies based on the surgical technique used. The most common types of myomectomy include:

• Laparoscopic Myomectomy: This is a minimally invasive procedure. Small incisions are made in the abdominal area, and a camera (laparoscope) and surgical instruments are inserted through these incisions to access the uterus.
• Hysteroscopic Myomectomy: If the fibroids are located inside the uterus, this method is preferred. Surgical instruments are inserted through the vagina and cervix to remove the fibroids.
• Open Abdominal Myomectomy (Laparotomy): This method is used when large fibroids or multiple fibroids need to be removed. A larger incision is made in the abdomen, allowing for direct access to the fibroids.

Who is a Candidate for Myomectomy?

Myomectomy may be a suitable treatment option for women who experience the following conditions:

• Heavy menstrual bleeding, bleeding between periods, or abnormal vaginal bleeding.
• Pelvic pain or a feeling of pressure.
• Difficulty conceiving or an increased risk of miscarriage due to fibroids.
• Urinary tract problems caused by fibroids.

Symptoms of Fibroids

What are the common symptoms of fibroids and how are they diagnosed? The structure, size, and number of fibroids developing in various parts of the female reproductive organs are critical factors. Therefore, fibroids are often detected only during routine medical check-ups. The presence of fibroids can lead to several bodily changes. Common symptoms of fibroids include:

• Heavy and prolonged menstrual periods

• Pain in the lower back and pelvic region

• Burning sensation and pain while urinating

• Swelling in the abdominal and lower abdominal region

• Pain during sexual intercourse

If any symptoms of fibroids appear, it is recommended to seek medical evaluation as soon as possible. A proper diagnosis requires an examination by a gynecologist. This examination is called a pelvic exam. Additionally, the patient’s medical history is reviewed during the diagnosis process. An ultrasound scan and a pelvic MRI are typically used to confirm the presence of fibroids. These diagnostic tools help gynecologists determine the location and number of fibroids in the body.

Recovery Process After Myomectomy

The recovery period after myomectomy varies depending on the surgical method used. Recovery is generally quicker for laparoscopic or hysteroscopic myomectomy, allowing patients to return to normal activities within a few days. However, open abdominal myomectomy typically requires a longer recovery period, ranging from 4 to 6 weeks. Some common post-surgery symptoms include pain, mild bleeding, or dis