Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:
- Anemia that is not relieved by treatment with medicine.
- Pain or pressure that is not relieved by treatment with medicine.
- A fibroid that has changed the wall of the uterus. This can sometimes cause infertility. Before an in vitro fertilization, myomectomy is often done to improve the chances of pregnancy.
Fibroid tumors are composed of renegade muscle cells that come together to form a fibrous "knot" or "mass" within the uterus. Although all uterine fibroids are the same, they are categorized based on their location:
- Submucosal fibroids are located just under the uterine lining.
- Intramural fibroids lie between the muscles of the uterine wall.
- Subserol fibroids extend from the uterine wall into the pelvic cavity.
For some women fibroids cause no symptoms, but when they do, doctors say problems often involve heavy menstrual periods, prolonged bleeding or bladder compression which induced frequent voiding.
Myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant.
The method used depends on the:
- Size, location, and number of fibroids.
Hysteroscopy can be used to remove fibroids on the inner wall of the uterus that have not grown deep into the uterine wall.
Laparoscopy is usually reserved for removing one or two fibroids, up to about 2 in. (5.1 cm) across, that are growing on the outside of the uterus.
Laparotomy is used to remove large fibroids, many fibroids, or fibroids that have grown deep into the uterine wall.
- Need to correct urinary or bowel problems. To repair these problems without causing organ damage, laparotomy is usually needed.
Risks and Complications
- Infection of the uterus, fallopian tubes, or ovaries (pelvic infection) may occur.
- Removal of fibroids in the uterine muscle (intramural fibroids ) may cause scar tissue.
- In rare cases, scarring from the uterine incision may cause infertility.
- In rare cases, injuries to the bladder or bowel, such as a bowel obstruction, may occur.
- In rare cases, uterine scars may break open (rupture) in late pregnancy or during delivery.
- In rare cases, a hysterectomy may be required during a myomectomy. This may happen if removing the fibroid causes heavy bleeding that cannot be stopped without doing a hysterectomy.
The procedure cost is about 55,000-65,000 NTD, prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.