Myomectomy is another surgical treatment which removes the fibroids from the uterus.

Unlike a hysterectomy, a myomectomy does not remove the uterus. This is an obvious advantage. However, complications associated with myomectomy include blood loss (a frequent problem when large fibroids are removed), uterine scarring (which impairs fertility) and a fairly significant incidence of regrowth (about 30%).

By comparison, uterine scarring is NOT a problem with MRgFUS.

A myomectomy surgically removes fibroids from the uterine wall.  Although fibroids in the uterine cavity can be removed through the vagina and cervix, fibroids within the uterine walls or on the outer surface require an incision.  A hysteroscopic myomectomy removes one or more fibroids (mostly within the uterine cavity) using a hysteroscope through the cervix.  A laparoscopic myomectomy removes fibroids (typically up to 6 cm in size depending on location) on the outside of the uterus via a small incision in the abdominal wall. An abdominal myomectomy requires incisions in the abdomen and in the uterus to access the fibroid.  With myomectomy, reproductive potential is spared - it is generally safe to conceive after adequate healing time.  Caesarean section may be required for delivery.

There are three basic approaches. Abdominal myomectomy removes fibroids through an incision in the abdomen. Laparoscopic myomectomy uses several very small incisions in the abdomen and a laparoscope to remove fibroids. Hysteroscopic myomectomy requires an instrument called a resectoscope, which is inserted vaginally and uses electrical current to cut tissue. This type of myomectomy should only be performed by physicians trained in the use of a resectoscope.

If you have a question about Myomectomy, please give us a call on 0203 312 7605.