What Is Myomectomy?
Myomectomy is a surgical procedure that removes fibroids from the uterus without removing the uterus itself. Fibroids are non-cancerous growths that can vary in size, number, and location, and may cause symptoms such as heavy bleeding, pelvic pain, pressure, or fertility difficulties.
The procedure can be performed using different techniques, including minimally invasive approaches, depending on the size and position of the fibroids and individual patient factors, especially in cases causing heavy menstrual bleeding.
Why Myomectomy May Be Recommended
Myomectomy may be advised when fibroids cause significant symptoms or complications, including.
- Extensive experience in advanced gynaecological surgery
- Pelvic pain or pressure
- Bladder or bowel symptoms due to fibroid pressure
- Fertility challenges linked to fibroids.
- Rapid fibroid growth or concerning symptoms
The aim of myomectomy is symptom relief while, where possible, maintaining normal uterine function.
Benefits of Myomectomy
Myomectomy offers several important benefits for suitable patients.
- Removal of fibroids while preserving the uterus
- Relief from fibroid-related symptoms
- Potential improvement in fertility outcomes
- Avoidance of hysterectomy
- Tailored surgical approach based on fibroid characteristics
This makes myomectomy a preferred option for many patients seeking uterus-preserving treatment.
What to Expect During Myomectomy
Preoperative Assessment
A comprehensive consultation includes detailed imaging, symptom review, and discussion of treatment options. The most appropriate surgical approach is planned based on individual needs.
The Surgical Procedure
Myomectomy may be performed laparoscopically, robot-assisted, or through an open approach, depending on fibroid size, number, and location. The procedure focuses on precise fibroid removal while protecting healthy uterine tissue.
Postoperative Care
Following surgery, patients are monitored closely. Pain control, mobility, and recovery guidance are provided to support safe healing.
Before and After Myomectomy
Before myomectomy, patients often experience ongoing discomfort, heavy bleeding, or reproductive concerns that affect daily life and well-being.
After surgery, many patients notice significant symptom improvement, better menstrual control, and enhanced quality of life. When fertility is a concern, myomectomy may also improve reproductive outcomes depending on individual circumstances.
Recovery After Myomectomy
Recovery time varies depending on the surgical approach used. Minimally invasive myomectomy typically allows faster recovery, with gradual return to normal activities over the following weeks.
Follow-up appointments are scheduled to monitor healing, discuss pathology results (if applicable), and plan future care.
Who Is Suitable for Myomectomy?
Myomectomy may be suitable for individuals who
- Have symptomatic uterine fibroids
- Wish to preserve fertility or the uterus.
- Have fibroids affecting the quality of life
- Have not responded to medical treatments
- Require fibroid removal without hysterectomy.
Suitability is assessed carefully on a case-by-case basis.
How Much Does Myomectomy Cost?
The cost of myomectomy depends on the complexity of the surgery, hospital setting, and surgical approach required. This is discussed clearly during consultation so patients can make informed decisions with confidence.
Choosing the Right Surgeon for Myomectomy in London
Myomectomy requires experience, precision, and sound surgical judgement. Care under Dr Saurabh Phadnis offers
- Consultant-level expertise in fibroid surgery
- Access to minimally invasive and robotic techniques
- Individualised treatment planning
- Evidence-based surgical decision making
- Clear communication and ongoing support
This ensures safe surgery and outcomes aligned with patient goals.
Take the First Step Towards Fibroid Relief
If fibroids treatment is needed because fibroids are affecting your health, comfort, or fertility, a specialist assessment can help determine whether myomectomy is the right option for you. Expert consultation provides clarity, reassurance, and a personalised treatment plan..
Frequently Asked Questions
Will fibroids come back after myomectomy?
Fibroids can recur in some patients. Regular follow-up helps monitor long-term outcomes.
Can I get pregnant after myomectomy?
Many patients successfully conceive after myomectomy, depending on individual factors and fibroid characteristics.
Is myomectomy a major surgery?
It is a significant procedure, but minimally invasive approaches often reduce recovery time and discomfort.
How long does recovery take?
Recovery varies by surgical approach, with many patients returning to normal activities within weeks.