A Comprehensive Guide to Fibroid Removal Surgery Treatment

“Myomectomy” is a surgical operation used to remove uterine fibroids, sometimes called “leiomyomas”. These frequent noncancerous growths form in the uterus and usually emerge during reproductive years, but they can appear at any age.

The main objective of a myomectomy is to remove symptomatic fibroids and restore the uterine wall. Women who get a myomectomy generally see considerable improvements in their symptoms, such as less heavy menstrual bleeding and lower pelvic pressure.

Depending on the size, location, and shape of the fibroid, removal surgery can be performed using one of the following techniques:

Laparoscopic Fibroid Removal Surgery
Open Fibroid Removal Surgery
Hysteroscopic Fibroid Removal Surgery

If there is a single, small fibroid, the specialist may opt for non-surgical removal methods such as uterine fibroid embolization or radiofrequency ablation. However, if the fibroid is large or there are multiple fibroids, surgery is often considered the best solution.

Minimally invasive myomectomy, or fibroid removal surgery, is now the most common approach and can be performed with ease and high success rates.

Who needs to undergo Fibroid Removal Surgery?

Not all women need surgery to remove fibroids; surgery is recommended only when specific issues must be addressed. The appropriate candidates for fibroid removal surgery include:

Women who experience painful periods and heavy bleeding.
Women who wish to become pregnant in the future.
Women suffering from infertility caused by fibroids.
Women for whom alternative treatments, such as medication and non-invasive procedures, have been ineffective.
Women experience other health problems due to fibroids, such as low back pain and urinary tract or bowel issues.

Before undergoing fibroid removal surgery, women experience various signs and symptoms that indicate the presence of uterine fibroids. Following are the signs and symptoms before undergoing fibroid removal surgery:

Heavy Menstrual Bleeding
Painful Periods
Pelvic Pressure and Pain
Frequent Urination
Constipation
Back and Leg Pain
Infertility or Reproductive Issues
Abdominal Swelling
Anemia
Pain During Intercourse

Medical History Review: The doctor will do a detailed discussion of medical history, including symptoms related to fibroids, previous surgeries, and any existing medical conditions.

Physical Examination: The doctor will conduct a Comprehensive examination of the pelvic region to assess the size, location, and number of fibroids.
Pelvic Imaging Studies: These include Ultrasound and MRI (Magnetic Resonance Imaging)
Blood Tests: Include Complete Blood Count (CBC) and Hormone Levels.
Endometrial Biopsy: Sampling of the uterine lining is done to rule out other conditions, such as endometrial cancer, which may present with similar symptoms.
Diagnostic Hysteroscopy: Visualization of the uterine cavity using a thin, lighted instrument hysteroscope inserted through the cervix, to assess for submucosal fibroids or other abnormalities.

Recovery following fibroid removal surgery is usually quick. Patients are typically discharged from the hospital within one or two days of the procedure. It is recommended to stay on rest in bed for approximately 10 days and refrain from lifting heavy objects.

Stitches are generally removed around 10 days post-surgery. However, it's important to continue avoiding heavy lifting and strenuous exercise for at least one month following the surgery.

As recovery progresses, patients can resume their normal activities. Many individuals can return to work within two weeks of the surgery.