Depending on the size, number and location of your fibroids, your surgeon may choose one of three surgical approaches to myomectomy.
Open abdominal surgery / keyhole surgery / hysteroscopic.
Oxygen mask to help you breathe. A drip in the arm to give blood and fluids. A temporary bladder catheter. A drain from the wound. A pain-relief pump for when you wake up.
Will I still have periods
Can the fibroids grow back
How long will I stay in Hospital
Overnight / 1-2 days
Feeling tired or weak.
Feeling ‘low’ and emotional.
Vaginal discharge or bleeding for up to 10-14 days.
changes in bowel patterns up to several weeks.
Uterine pain and cramping.
You will be prescribed strong painkillers to help manage any pain.
You should use sanitary towels (not tampons) in order to reduce the risk of infection. Keep the wound site clean and dry.
It is not advisable to drive until you feel comfortable, usually no sooner than four weeks after your surgery. You should be able to put on your seatbelt yourself and feel con dent you could perform an emergency stop if needed. Check if you are covered by your insurance policy.
Your periods should gradually return to a more normal frequency.
As for all operations there is a risk of bleeding that may require a blood transfusion.
Very unusual during Myomectomy but would mean you would not be able to have children
Clot in leg / lung
Unlikely, you will be asked to wear special stockings on your legs and be given a small injection in the tummy to thin the blood
You will still need to use contraception if you do not wish to get pregnant.
We recommend that you avoid becoming pregnant for three months following surgery.
Damage to Bladder
Small risk: - The bladder would be repaired and a catheter in the bladder would be necessary
Damage to bowel
Small risk: - The bowel would be repaired but you may need a colostomy where the bowel drains into a bag attached to your tummy
Small risk of a water infection (urine) or a chest infection that may require antibiotics
Treatment Comparison PDF
We know making the right choice for you is important thats why we have come up with this download document so you can make the choice that suits you.
Simply click on the image opposite to see your options
In abdominal myomectomy (laparotomy), an open abdominal incision is made to access your uterus and remove fibroids.
In laparoscopic myomectomy, a minimally invasive procedure, your surgeon accesses and removes fibroids through several small abdominal incisions a small incisions using instruments inserted through these ‘ports’.
Sometimes, the fibroid is cut into pieces and removed through a small incision in the abdominal wall. Other times the fibroid is removed through a bigger incision in your abdomen so it can be removed without being cut into pieces.
Laparoscopic surgery use smaller incisions than a laparotomy. This means you may have less pain, lose less blood and return to normal activities more quickly than with a laparotomy.
To treat fibroids that bulge significantly into your uterine cavity (submucosal fibroids), your surgeon may suggest a hysteroscopic myomectomy. Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.
For more information or to make an appointment call
Tel: 01782 625431
© 2018 Mercia Fibroid Clinic LLP - c/o Nuffield Hospital, Stoke on Trent, Clayton Road, Newcastle under Lyme. ST5 4DB - Company Partnership Number OC418016
Royal Stoke University Hospital
Stoke on Trent,
Newcastle under Lyme,
Tel : 01782 625431