Uterine fibroids are benign tissue growths that often develop in the uterus during a woman’s childbearing years. These growths can vary in size and number and does not always require treatment. However, some fibroids may cause symptoms and increase the risk of developing certain complications. In such cases, a myomectomy or uterine fibroid surgery may be necessary.
A myomectomy is a surgical procedure that removes uterine fibroids while preserving the uterus. It is often recommended for patients experiencing symptoms of fibroids like irregular bleeding, heavy menstrual periods, pelvic pain, and iron-deficiency anaemia due to blood loss.
By keeping the uterus intact, myomectomy allows patients the chance to conceive in the future. This is in contrast to a hysterectomy, which involves removing the entire uterus.
There are three primary types of myomectomy and the most suitable procedure is determined by the number, size, and location of the uterine fibroids.
Preparing for Uterine Fibroid Surgery
Be sure to inform your surgeon of any medications and supplements that you are taking. Drugs like blood thinners may need to be temporarily stopped to reduce the risk of bleeding during surgery. A pre-operative examination will be performed to ensure that you are fit for fibroid surgery. You will also be asked to fast for about 6 to 8 hours before the procedure. Your fibroid specialist will also provide post-operative instructions to help you prepare for recovery.
Procedure Details
Uterine fibroid surgery is often performed under general anaesthesia. The specific duration,
hospital stay and recovery period depends on the type of myomectomy, the number, size and location
of fibroids, as well as the surgeon’s experience.
In terms of the type of myomectomy performed, here is a general guide of how long each one will
take:
Recovery From Fibroid Surgery
It is common to experience some discomfort after fibroids surgery. You will usually be given
medications to help manage the pain. You may also experience vaginal bleeding for a few days to a
few weeks. During this time, it is generally recommended to use sanitary pads instead of tampons to
reduce the risk of infection.
Other post-operative instructions for a smoother recovery include:
For more information about myomectomy (uterine fibroid surgery), please speak with your gynaecologist to determine if it is a suitable option for you.