Myomectomy is the surgical removal of fibroids.
What are fibroids?
Fibroids are basically benign growths (not cancerous) affecting the uterus. They arise from the muscular wall of your uterus. Fibroids can be located either inside the uterus or outside it, attached to its wall. The number of fibroids can also be highly variable, from single to multiple.
How do you know if you have fibroids?
It occurs mostly in women in the 3rd to 4th decades. The signs may be if you have a change in your menstrual periods, either in being longer or more frequent, as well as being more painful (dysmenorrhoea). You may also get anaemia from excessive bleeding.
You may also have difficulty in passing urine or stools. You may have pain or swelling in the abdominal area. Miscarriages and infertility can result in larger fibroids.
Sometimes, fibroids have no symptoms and are detected only on routine examinations.
How are fibroids diagnosed?
Imaging examinations of the uterus such as ultrasonography, hysteroscopy, hystersalpingography and laparascopy can be used to detect fibroids.
What is the treatment for fibroids?
When fibroids get painful, interfere with fertility or conception, or cause irregular and prolonged periods, they will have to be treated.
The surgical modalities of treatment include Hysterectomy and Myomectomy. Myomectomy is removal of the fibroid (only removal of muscular layer of the uterus), without removal of the uterus.
What care do you have to take post the surgery?
A lot of post-operative care must be taken for two weeks after surgery. Avoid heavy physical activities for at least six weeks. Smoking is best stopped as it interferes with healing.
Your treatment plan after surgery will be decided by your doctor upon consultation with you.
Myomectomy is a surgery done to remove fibroids without the removal of healthy tissue of the uterus. Myomectomy is preferred if you wish to have children or who wish to keep their uterus for other reasons. After Myomectomy surgery, you can choose to go ahead with pregnancy. Myomectomy is considered standard of care for removing fibroids and preserving the uterus. Traditionally, myomectomy surgery was performed through a large abdominal incision. Nowadays advances in technology have provided less invasive alternatives such as Hysteroscopic and Larparoscopic Myomectomies. A hysteroscopic myomectomy removes fibroids through the vagina. In a hysteroscopic myomectomy, a thin scope with a light is passed through the vagina and cervix into the uterus. No incision is needed. The physician can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope. Fibroids are easily visualized and can be removed using a wire loop or similar device. Generally only fibroids that are small and accessible through the cavity can be treated this way.
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