Dr Hugo Fernandes
Treating and Removing Uterine Fibroids
The side effects can be severe, but many people are hesitant to even address the treatment or removal of their fibroids. Fortunately, these procedures don’t need to be daunting. A myomectomy is a surgical procedure that is minimally invasive, able to remove fibroids and mitigate the significant symptoms making life difficult.
What is a Myomectomy?
Once an incision is made on the uterus, a surgeon can dissect around the fibroid, remove it, and suture the wound on the uterus wall with dissolvable sutures. In cases where there are multiple fibroids or myomas, often they may all be removed through the same incision, though a different cut may be necessary depending on the positioning of the separate fibroids.
The two myomectomy options are laparotomy and laparoscopy. The difference is relatively simple – a laparotomy is a caesarean type of cut, making it an open surgery, while laparoscopy is a keyhole surgery.
When is a Myomectomy Performed?
Fibroids are essentially noncancerous growths and tumours that develop on the uterine wall. By removing only the fibroids and keeping the uterus intact, you can find relief from the severe symptoms commonly associated with these growths.
There are several areas of your health that can be affected by fibroids, which may lead to a myomectomy being required. Symptoms can include pressure symptoms impacting your bowel and even difficulty emptying your bladder, excessive bleeding during menstruation, reproductive problems, and significant pain or discomfort. If you are experiencing any of these issues, a myomectomy may be an option.
The Benefits of Undergoing a Myomectomy
Unlike a myomectomy, which removes only the fibroids, a hysterectomy removes the entire uterus – this is a less invasive surgery. For women of reproductive age, keeping the uterus intact may be a top priority, and a myomectomy can provide just that. Women who opt to undergo myomectomy still report significant improvement in their fibroid symptoms, including decreased heavy bleeding during menstruation and less pelvic pressure.
Potential Risks and Side Effects
- Bleeding – at times excessive when multiple incisions are required
- Infection – which can be mitigated with the use of antibiotics
- Damage to other organs – though serious complications are extremely rare
- Hysterectomy – sometimes further surgery may be required after a myomectomy, and this could lead to a hysterectomy being required. This is a very rare event, happening in about 1 out of 300 procedures
- Adhesions – surgeries lead to scars, and at times internal scars may lead to fertility issues
- Uterine wall weakness – incisions can lead to thinning of the uterine wall tissue
Why choose Dr Hugo?
20 Years Experience
Women’s Health Advocate
Across twenty years in this field, Dr Hugo has positioned himself as an advocate for women’s health. These services are essential for so many women, and when you work with Dr Hugo you can rest assured that you will be listened to and treated carefully.
Your Myomectomy Questions Answered
Is myomectomy major or minor surgery?
Is a myomectomy painful?
Can fibroids grow back after a myomectomy?
Can I get pregnant after a myomectomy?
How long do I need to stay in the hospital after a myomectomy?
How long is the recovery period after a myomectomy?
Book an Appointment With Dr Hugo
When it comes to any fertility support, it is crucial to find a fertility clinic that makes you feel safe and comfortable. Approaching a myomectomy can feel daunting, but the process doesn’t have to be frightening. Make everything easier by working with a gynaecologist who will listen to your needs and deliver a treatment solution suited to your unique health needs. Contact Dr Hugo today to speak with a friendly team member, or book your appointment now.