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Myomectomy: Surgical Recovery and Further Precautions

Myomectomy: Surgical Recovery and Further Precautions

A myomectomy is a type of surgery done to remove uterine fibroids. Uterine fibroids are abnormal growths that occur in the uterus. In most cases, women with the condition may not experience any symptoms at all.

Usually, fibroids are diagnosed during a pelvic examination or prenatal ultrasound done for other reasons. Those who experience symptoms may have pain in the pelvic area, excess urination, heavy bleeding, and irregular periods.

The symptoms may vary based on the location, size, and a number of fibroids that are present. Your doctor may recommend the surgical procedure when fibroids interfere with your regular activities or affect your fertility.

The surgery can be performed in three types – Abdominal myomectomy, Laparoscopic myomectomy, and Hysteroscopic myomectomy. Myomectomy recovery may vary depending on the procedure and your overall health condition.

Myomectomy is a procedure that removes only fibroids without causing any harm to the uterus. However, hysterectomy is a fibroid removal procedure that removes the entire uterus, meaning the woman may not be able to conceive in the future.

Things to remember before Myomectomy

Once your surgery is scheduled, your doctor will provide you with a complete guide to follow. Your doctor may prescribe certain medications to take for a few days before the surgery that will help to make the fibroids smaller. Your doctor may also prescribe other medications to stop your periods for a temporary period. You may need to take these medications a few days after the surgery.

You may need to undergo certain medical tests including blood tests, pelvic ultrasound, or MRI scan before the surgery.

Inform your doctor about the drugs and supplements you take. Your doctor may ask you to avoid certain medications and drugs that may interfere with the test.

myomectomy

Types of Myomectomy

The type of fibroid surgery you may undergo is based on the number of fibroids, their location, and the severity of the condition.

Abdominal myomectomy – This type of procedure is recommended when you have fibroids that are larger in size or have multiple fibroids. In this type of surgery, the surgeon will access your abdomen using an incision and remove fibroids.

Laparoscopic myomectomy – This type of procedure is recommended when you have small or fewer fibroids. In this type of surgery, the surgeon will insert a tube-like structure called a laparoscope into your abdomen using a small incision. The tools for the surgery are inserted through other small incisions.

Hysteroscopic myomectomy – This type of procedure is recommended when you have smaller fibroids inside your uterus. In this type of surgery, the surgeon will insert small instruments through the vagina to access the uterus. Before performing the surgery, the surgeon will insert a sterile solution into your uterus. This will help to widen the uterus and have a clear view to perform the surgery.

Myomectomy recovery

Your stay at the hospital may depend on the type of surgery you had. For instance, if you have an abdominal myomectomy, it may take one to two months for recovery, laparoscopic myomectomy may take less than a month for recovery, and hysteroscopic procedure may take less than a week for recovery.

Your doctor may help you with all the instructions you need to follow, which may also include restrictions on diet and certain activities.

The fibroids removal surgery is helpful to relieve the signs and symptoms you experience and improve fertility.

However, you may experience pain and discomfort for a few days. To relieve pain, your doctor may prescribe certain medications.

Recovery also depends if there are any complications after the surgery. In most cases, women may not face any issues or symptoms after the surgery but that does not mean the fibroids will not come back. Even after the surgery, there are chances of fibroids coming back.

Depending on the procedure you had, there are chances of you having scars on the operated area. The scars are usually not permanent and may heal completely within a few months. Your doctor may also prescribe scar removal cream to apply to the operated area. If you feel any unusual changes or pain in the operated area, talk to your doctor.

Surgical complications

Like any other surgical procedure, this also possesses certain complications. Not all women may face complications after surgery. Some of the complications women may face after the surgery include infection in the operated area, severe bleeding, severe pain in the abdomen or in the operated area, and the development of new fibroids. If you experience any such side effects or complications, seek immediate medical help.

Myomectomy and Pregnancy

If you are planning a pregnancy, you must ask your doctor how long you may need to wait and the right time to conceive.

As mentioned earlier, this procedure helps get rid of fibroids keeping the uterus safe. After the surgical procedure, it is important to let your uterus heal completely. Depending on the severity of your condition, your doctor may ask you to abstain from having sex for at least a few months.

Even if the surgery helps to improve fertility, the chances of you getting pregnant completely depend on the location and number of fibroids. Women with more fibroids are less likely to get pregnant, while women with fewer fibroids have more chances of getting pregnant. Since the surgical procedure has a huge impact on the uterus, it is more likely to tear during the later stages of pregnancy or during delivery.

Even if you happen to get pregnant, your doctor may recommend you have a cesarean delivery. You will have to seek a medical opinion before planning your pregnancy and have good antenatal or pregnancy care to ensure a healthy delivery.

Here’s how to take care of yourself:

  • Recovery may take some time. It is important to rest and let your uterus heal completely. At least two weeks of bed rest is advised.
  • Avoid lifting heavy objects or performing any activities that may put pressure on your abdomen.
  • Make sure you take all the medications prescribed by your doctor. Even if you feel better, you must take the complete dosage as recommended by your doctor.
  • Your doctor may also recommend performing simple exercises after three weeks of surgery.
  • If you experience bleeding, itching, or any unusual symptoms, make sure you consult your doctor immediately.

Learn more about managing uterine fibroids here.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

The benefit of myomectomy in women aged 40 years and above: Experience in an urban teaching hospital in Nigeria/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3213745/Accessed on 17/06/2020

Myomectomy/https://www.mayoclinic.org/tests-procedures/myomectomy/about/pac-20384710/Accessed on 17/06/2020

Uterine fibroids/https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/syc-20354288/Accessed on 17/06/2020

Myomectomy: Recovery and Outlook/https://my.clevelandclinic.org/health/treatments/15448-myomectomy/recovery-and-outlook/Accessed on 17/06/2020

Robotic-Assisted Myomectomy/https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/roboticassisted-myomectomy/Accessed on 17/06/2020

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Written by Nikita Bhalla Updated Sep 27, 2021
Fact Checked by Bianchi Mendoza, R.N.