If you have uterine fibroids, it’s important to know that hysterectomy is not your only option. Myomectomy is a fibroid removal surgery that leaves the uterus intact, allowing for future pregnancy if desired. At the Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids, our gynecologic surgeons are expertly trained in minimally invasive myomectomy techniques.

Our team specializes in helping patients with:

  • Large fibroids and/or a large uterus
  • Multiple and/or deep fibroids
  • Fibroids blocking abdominal organs
  • Severe inflammation from endometriosis or adenomyosis
  • Severe scarring from previous abdominal surgeries

We treat the most challenging cases, often using minimally invasive techniques. It’s important to know what all your options are. Our experts may be able to offer you alternative fibroid treatments other doctors previously ruled out.

Tiny Incisions, Quicker Recovery, Minimal Scarring

Based on the location and size of the fibroids, myomectomy can be performed using robotic surgery, laparoscopy or hysteroscopy. These minimally invasive approaches do not require the large incision used in traditional fibroid surgeries and result in a faster recovery. Most patients can return to their usual activities within two weeks.

Robotic and Laparoscopic Myomectomy

Performed through tiny incisions (less than half an inch) in the abdomen, a minimally invasive gynecologic surgeon uses sophisticated tools and equipment to remove the fibroids and repair the uterus during robotic and laparoscopic myomectomy. This is often performed as an outpatient surgery, and patients usually go home a few hours after the surgery is completed.

No Incisions or Scarring with Hysteroscopic Myomectomy

During a hysteroscopic myomectomy, a minimally invasive gynecologic surgeon places a small telescope (a hysteroscope) through the vagina and cervix into the uterus without making any incisions. Depending on their size, fibroids within the cavity of the uterus (called submucosal fibroids) can be located and removed while preserving the form and function of the uterus. Hysteroscopic myomectomy is performed as an outpatient procedure and most patients resume their usual activities the next day.

Is myomectomy right for me?

Several factors determine if you are a candidate for myomectomy and which approach — robotic, laparoscopic, hysteroscopic or a combination — is right for you. These include:

  • The location of your fibroid(s) in your uterus
  • The size of your fibroid(s)
  • The number of fibroids you have
  • Your age
  • Your overall health

A surgeon’s training and experience also affect what surgical options are available. At the CATeR Fibroid Center, our experts are highly skilled in performing robotic, laparoscopic and hysteroscopic myomectomies.

What to Expect After Myomectomy

The risks of myomectomy are similar to any surgical procedure and include blood loss and infection. However, these risks are very low and can be reduced by seeing a gynecologic surgeon who has training and experience performing myomectomies.

There is also a very low risk of uterine rupture (occurring in less than 1% of cases) with subsequent pregnancy. This risk can be reduced by not getting pregnant within three months of surgery.

Like any surgery, you should expect pain after myomectomy because it involves cutting tissue. When possible, surgeons at the CATeR Fibroid Center use minimally invasive techniques, which cause less pain compared with a single large incision. Smaller incisions also heal more quickly.

After surgery, we prescribe oral medications to help manage pain. When medications are used as recommended, most patients report mild to moderate pain and cramping within the first 48 hours after surgery, which gradually decreases throughout the healing process.

Because myomectomy spares your uterus, you can still become pregnant after the procedure. That is why it may be the preferred option for younger patients with fibroids who want to maintain their fertility. However, we recommend waiting at least three months after surgery before getting pregnant to give your uterus time to heal.

During a myomectomy, the gynecologic surgeon may not remove a fibroid if it is not causing symptoms. This can help preserve the muscles of the uterus, which is especially important if you want to become pregnant in the future.

Depending on the extent of the myomectomy surgery, you may need to have cesarean deliveries in the future. After your procedure, your surgeon will advise you about future delivery options.

Minimally Invasive Myomectomy Surgeons

Find a CATeR Fibroid Center Location in Hyde Park, Downtown Chicago or the Southwest Suburbs

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Uterine Fibroids