Myomectomy

Myomectomy Specialist
Surgical removal, or myomectomy, is considered the best treatment for fibroids that are causing infertility issues. There are several ways to perform a myomectomy, and the reproductive specialists at Fertility & Genetics in Plantation, Florida, led by Dr. Mick Abaé, can help determine which is best for your circumstance. This group of well-respected providers serves the communities of South Florida, including Broward County, Miami, Ft. Lauderdale, and Palm Beach. Call the office today to make an appointment, or consider using our convenient online scheduling service for real answers regarding the best treatment options available for infertility.

Myomectomy Q & A

Fertility and Genetics

What is a myomectomy?

The medical term used for uterine fibroids is myomas. Thus, the surgical procedure to remove uterine fibroids is called a myomectomy, literally the “cutting out of” myomas. These benign tumors develop in the muscles of the uterine wall, and if they grow large enough, can push into the uterus, causing pain, heavy menstrual bleeding, and frequent urination. Because uterine fibroids can complicate or even prevent pregnancy, fertility treatment may require their removal.

What types of myomectomy are there?

Methods for myomectomy include:

  • Hysteroscopy: This technique involves inserting a viewing instrument called a hysteroscope and small, specially designed surgical instruments through the vagina and into the uterus. The fibroids are visualized via a tiny camera attached to the hysteroscope and removed.
  • Laparoscopy: This surgical technique uses a lighted viewing instrument called a laparoscope that’s inserted into the abdomen through one to three small incisions. An image of the uterus is shown on a monitor, and your surgeon uses small surgical instruments to remove the fibroids.
  • Laparotomy: This method requires a larger incision in the abdomen and is often called an open myomectomy.

How do you decide which myomectomy method is right for me?

Surgical techniques used for removing uterine fibroids depend on the location, size, and number of fibroids present. A hysteroscopy, for example, is only useful for fibroids that are on the inner wall of the uterus and have not yet grown deep into the uterine wall.

The laparoscopic technique is typically recommended when you only have one or two fibroids on the outer uterine wall that are no more than two inches in size. Laparotomy is used when you have multiple, large fibroids that require more extensive surgery than is possible with laparoscopy.

The cameras used in hysteroscopy and laparoscopy can be used as diagnostic tools, as well as operative tools, to identify the size, shape, and number of fibroids present, and help Dr. Abaé determine which surgical procedure best suits your condition.  

How long does it take to recover from a myomectomy?

The recovery time is directly related to which procedure Dr. Abaé used. A hysteroscopy can take a few days to two weeks for full recovery, depending on the number and size of the fibroids removed. An operative laparoscopy can require one to two weeks to fully heal while a laparotomy may take four to six weeks.

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