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Frequently Asked Questions about… Myomectomy

In this article on the website of the Women's CD gynecological clinic in Barcelona we will answer frequently asked questions about myomectomy, a surgical intervention related to myomas.

  • What is a myomectomy?

La myomectomy is a surgical procedure that is carried out to remove fibroids, also called fibroids or leiomyomas, a benign gynecological pathology.

  • What is a uterine fibroid?

The fibroids are very common benign tumors during childbearing years that grow inside or along the walls of the uterus. Fibroids can cause various symptoms that affect a woman's health such as heavy or irregular menstrual bleeding, menstrual periods that last longer than normal, discomfort during sexual intercourse or subfertility, and spontaneous abortions.

  • When is a myomectomy necessary?

La myomectomy It is a safe and effective surgical treatment for the removal of fibroids, suitable for all women with severe symptoms. When the fibroids cause symptoms that affect daily activity or hinder the possibility of carrying a pregnancy to term, it is considered to be the most appropriate surgical procedure, because it allows to remove fibroids, relieve symptoms and preserve the uterus.

  • Are there different types of myomectomy?

There are three types of myomectomy depending on the access route:

    • Abdominal myomectomy: Access through the abdomen.
    • Hysteroscopic myomectomy: Access through the vagina and cervix.
    • Laparoscopic myomectomy: Access through small incisions in the abdomen.
  • What does it depend on choosing one or another type of myomectomy?

La election of one or another access route (of one or another type of myomectomy) is determined by the size, location, number of fibroids and the experience of the surgeon, as well as the operating rooms where the intervention is carried out since there is no all have a surgical robot as in the Corachan clinic.

If possible, because if you reeducate, tone and strengthen the pelvic muscles (always conveniently advised and directed by professional experts), you will do a good prevention of incontinence or, if you already have symptoms, you will treat it effectively.

  • What is an abdominal myomectomy?

La abdominal myomectomy It consists of removing the fibroids by making an incision in the lower abdomen, often horizontal and parallel to the waist, where the surgeon accesses the uterus and proceeds to practice the removal of the fibroids.

  • How much time of hospitalization and postoperative recovery does an abdominal myomectomy require?

La abdominal myomectomy It may require 2 to 3 days of hospital stay, and the recovery of the patient, as it is a more aggressive surgery, can take between 3 and 4 weeks of postoperative recovery and relative rest.

  • What is a hysteroscopic myomectomy?

The mhysteroscopic iomectomy consists of removing the fibroids (without incision or open cut) through the use of instruments (hysteroscope or resectoscope) that are delivered to the uterus through the vagina and cervix.

  • What is a hysteroscope?

El hysteroscope It is an instrument equipped with a light and a camera with which an enlarged image of the interior of the uterus is obtained, which is displayed on a screen. Fibroids can be removed with a hysteroscope used to remove fibroids from the uterine wall using electrical energy, or with a hysteroscopic morcellator with which the surgeon manually cuts the fibroid. It can only be practiced when fibroids affect the inner wall of the uterus.

  • How much time of hospital stay and postoperative recovery does a hysteroscopic myomectomy require?

After hysteroscopic myomectomy, the patient is usually discharged the same day as the intervention, and the patient's recovery may involve about 1 week of relative rest.

  • What is a laparoscopic myomectomy?

La laparoscopic myomectomy it's a technique minimally invasive surgery that allows the patient to intervene and eliminate fibroids practicing small incisions in the navel or very close, through which the surgical instruments and a tube with a small camera (the laparoscope) are inserted and the fibroids are removed. It allows to eliminate any type of fibroids depending on the experience of the surgeon.

  • How much time of hospital stay and postoperative recovery does a laparoscopic myomectomy require?

La recuperación of a laparoscopic surgery is faster than that of an abdominal myomectomy: the patient can be discharged the same day of the intervention, and her full recovery can involve 2 to 3 weeks of relative rest, during which it is recommended to avoid intense exercise .

  • What is a Single Port or Single Port myomectomy?

La myomectomy of Single Port or Single Port es laparoscopic surgery It is performed through a single micro-incision in the abdomen (usually in the navel) through which the surgical instruments are introduced, including the camera that allows viewing the interior.

  • What is a robotic myomectomy?

La robotic myomectomy es robot-assisted laparoscopic surgery, a surgery especially suitable to carry out highly complex surgical interventions. By means of robotic arms and articulated forceps, the robot moves in real time and with absolute fidelity the movements of the surgeon's hand. The use of the robot provides the surgeon with greater safety to treat anatomical areas of difficult access, facilitates an enlarged view of the interior of the patient, ensures stable handling of surgical instruments and enables maximum precision in the movements of the surgeon's hands.

  • How to prepare for a myomectomy?

It is recommended that the patient try to reduce stress in the days before the intervention, do not use tobacco (because it can hinder postoperative recovery), do not drink alcohol during the 48 hours prior to the intervention, and follow the instructions of her gynecologist to maintain a soft diet. It is essential that the patient inform her surgeon in advance about medications, supplements or natural remedies that she may be taking, so that he can tell her how to proceed in the days prior to the intervention. All this will result in a better recovery of the patient after the surgical intervention.

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