Myomectomy

Myomectomy

A myomectomy is a surgical procedure to remove uterine fibroids (also known as leiomyomas) while preserving the uterus. It is the preferred treatment for women who wish to retain their fertility or avoid a hysterectomy. Unlike hysterectomy, myomectomy removes only the fibroids and leaves the uterus intact, making it a fertility-sparing option.

Why Is a Myomectomy Performed?

Myomectomy is recommended when uterine fibroids cause:
  • Heavy menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination or constipation

  • Infertility or recurrent pregnancy loss

  • Enlarged uterus or abdominal swelling

  • Discomfort during sexual activity

This surgery is ideal for women planning future pregnancies or those who wish to preserve their uterus for personal or cultural reasons.

Types of Myomectomy

Abdominal Myomectomy (Laparotomy)
  • Open surgery performed through a larger abdominal incision

  • Suitable for large or multiple fibroids

Laparoscopic Myomectomy
  • Minimally invasive, performed through small incisions using a laparoscope

  • Shorter recovery, less pain, ideal for moderate-size fibroids

Robotic-Assisted Myomectomy
  • Offers greater precision, flexibility, and control

  • Beneficial for complex fibroid locations and preserving uterine structure

Hysteroscopic Myomectomy
  • Performed through the vagina and cervix using a hysteroscope

  • Best for fibroids inside the uterine cavity (submucosal fibroids)

Benefits of Minimally Invasive & Robotic Myomectomy

  • Preservation of the uterus and fertility

  • Smaller incisions with less scarring

  • Reduced blood loss

  • Faster recovery and shorter hospital stay

  • Less postoperative pain

  • Quicker return to daily life and work

Recovery and Aftercare

Recovery time depends on the type and extent of surgery:
  • Laparoscopic/Robotic: 2–4 weeks

  • Abdominal: 4–6 weeks

  • Hysteroscopic: 1–2 weeks

Post-operative care includes:
  • Adequate rest and limited physical activity

  • Avoiding lifting heavy objects

  • Monitoring for signs of infection or heavy bleeding

  • Following up with imaging if fertility is a concern

  • Discussing future pregnancy planning with your doctor

Why Choose Dr. Kalpana Tiwari for Myomectomy?

Dr. Kalpana Tiwari is an expert in fibroid management and has successfully performed numerous laparoscopic, robotic, and hysteroscopic myomectomies. With over 15 years of experience in gynecological surgery, she offers personalized care plans that balance surgical precision with future fertility goals. Her use of advanced, minimally invasive techniques ensures excellent clinical outcomes, faster recovery, and minimal complications.

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