Myomectomy -- Open Surgery

This surgery involves removing fibroids from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.

  • Call Your Doctor

    After you leave the hospital, contact your doctor if any of the following occur:

    • Signs of infection, including fever and chills
    • Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
    • Excessive vaginal bleeding (soaking more than one pad per hour) after the procedure
    • Excessive vaginal discharge that continues beyond one month after the procedure
    • Vaginal discharge has a foul odor
    • Severe abdominal pain

    • Headaches, muscle aches,
      , or general ill feeling

    • Nausea,
      , or abdominal swelling
    • Pain and/or swelling in one or both legs
    • Fibroid symptoms return after the procedure
    • Cough
      , shortness of breath, or chest pain
    • Pain, burning, urgency or frequency of urination, or persistent blood in the urine
    • New, unexplained symptoms

    In case of an emergency, call for medical help right away.

  • Definition

    This surgery involves removing
    from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.

    Uterine Fibroid
    Uterine Fibroids
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  • What to Expect

  • Reasons for Procedure

    Myomectomy is done to relieve problems caused by fibroids without doing a
    (removal of the uterus). These problems can include:

    • Pelvic pain
    • Back pain
    • Pressure on the bladder
    • Abnormal vaginal bleeding
    • Difficulty becoming pregnant
    • Discomfort during sexual intercourse

    The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.

  • Possible Complications

    Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include:

    • Bleeding
    • Surgical wound infection
    • Recurrence of fibroids
    • Damage to other organs
    • Wall of the uterus may be weakened if a large fibroid is removed
    • Reactions to anesthesia

    • Need for special precautions in pregnancy (such as, need to deliver by
      cesarean section
    • Pelvic adhesions that can cause pain and/or bowel blockage
    • Problems found during surgery that make removal of the uterus necessary

    • Severe scarring, resulting in

    Factors that may increase the risk of complications include:

    • Smoking
    • Alcohol abuse
      drug use
    • Obesity
    • Chronic or recent illness
    • Use of certain prescription medicines
    • Diabetes

    Be sure to discuss these risks with your doctor before the procedure.