What is Myomectomy?
Myomectomy is a procedure that involves the surgical removal of fibroids in the uterus. Myomas are mostly benign (non-cancerous) tumors that develop in the muscle layer of the uterus. Depending on their size and location, they can cause a variety of symptoms; However, in some cases, they may not show any symptoms.myomectomyIt is an effective surgical method used to eliminate the problems caused by myomas.
Types of Myomectomy
- Laparoscopic Myomectomy:It is a minimally invasive method in which small incisions are made in the abdominal area and myomas are removed with the help of a camera (laparoscope) and surgical instruments. The recovery process is faster than open surgery.
- Hysteroscopic Myomectomy:It is preferred if myomas are located in the uterus. Surgical instruments are passed through the vagina and cervix to reach the fibroids; No external incisions are made.
- Open Surgical Myomectomy (Laparotomy):It is applied when large or multiple myomas need to be removed. A larger incision is made in the abdominal area; The recovery process is longer compared to other methods.
Who is Myomectomy Applied to?
- Heavy menstrual bleeding or abnormal bleeding between periods
- Pelvic pain or feeling of pressure
- Difficulty getting pregnant or recurrent miscarriage
- Urinary tract problems caused by fibroids
- Swelling or feeling of fullness in the lower abdomen
What are the Symptoms of Myoma?
Myomas may not cause any symptoms in some women; It can only be detected during routine examinations. In symptomatic myomas, the following symptoms may be observed:
In complaints about women's health, the diagnosis and treatment plan should be created by evaluating the duration of symptoms, examination findings and personal risk factors [1][2].
- Heavy and heavy menstrual bleeding
- Pain in the back and groin area
- Burning or pain when urinating
- Swelling in the abdomen and lower abdomen
- Pain during sexual intercourse
For the diagnosis of myoma, a specialist gynecologist should be consulted. Diagnostic process; It includes pelvic examination, ultrasound and, when necessary, pelvic MRI.
How is Myomectomy Surgery Performed?
Myomectomy surgery is performed by laparoscopic (closed) or open method, depending on the size, number and location of the myoma.
Since the same symptom may be caused by different causes, the choice of treatment should be based on a holistic clinical evaluation, not on a single finding [2][3].
Laparoscopic myomectomyIt is performed with the help of a camera and tools through small incisions made in the abdominal area. After the procedure, the patient is usually kept under observation in the hospital for 1 night; The healing process is on average 3-4 weeks.
Open myomectomy (laparotomy)It is applied by making a full incision in the abdominal area. It is preferred in large and widespread myomas. An average of 2-3 days of hospital stay may be required after surgery; The healing process is 4-6 weeks.
Recovery Process After Myomectomy
The recovery process after myomectomy varies depending on the surgical method used:
Follow-up plan; It should be individualized according to age, pregnancy expectation, previous treatments and comorbidities [1][3].
- Laparoscopic / Hysteroscopic methods:Recovery is usually faster; You can return to light daily activities within a few days. Full recovery is completed in 3-4 weeks.
- Open surgery:The healing process may take 4-6 weeks. During this period, heavy lifting and intense exercise should be avoided.
Mild pain, bleeding or discharge may occur during healing; These findings are normal and decrease over time. A doctor's approval must be obtained for sexual intercourse.
How is Myomectomy Performed in Singles?
Laparoscopic method is preferred in myoma surgery in single patients. Thanks to this approach, external incisions are kept to a minimum, the healing process is accelerated, and the integrity of the uterus is preserved for patients who want to have children in the future. Before the surgery, the size, spread and amount of the myoma are evaluated and a surgical plan is created.
Severe pain, heavy bleeding, fever, foul-smelling discharge, or rapidly increasing complaints require specialist evaluation without delay [2].
Article Summary
What is Myomectomy? The issue should be addressed by evaluating the person's complaints, examination findings and needs together. In this article, What is Myomectomy? The basic points to be wondered about, the diagnosis-treatment process and things to pay attention to are summarized.
What Will You Find in This Article?
- Myomectomy Types:This section explains basic information on the subject, the evaluation process and points to consider.
- Who is Myomectomy Applied to?:This section explains basic information on the subject, the evaluation process and points to consider.
- What are the Symptoms of Myoma?:This section explains basic information on the subject, the evaluation process and points to consider.
- How is Myomectomy Surgery Performed?:This section explains basic information on the subject, the evaluation process and points to consider.
Frequently Asked Questions
Yes. Myomectomy is a method that preserves the uterus; Therefore, it is preferred in patients who want to become pregnant. However, in some cases, internal adhesion may develop; Birth can occur by cesarean section.
Laparoscopic method takes approximately 1-2 hours, while open surgery takes approximately 1-2 hours. Duration may vary depending on the size, number and location of the myoma.
No. A waiting (observation) approach may also be considered for asymptomatic myomas. Treatment decision; It should be given considering the severity of symptoms, the size of the myoma and the patient's future pregnancy plans.
Diagnosis is made by pelvic examination, ultrasound and, when necessary, pelvic MRI. It is recommended to consult a specialist gynecologist for a definitive diagnosis and treatment plan.