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Fibroids Removal Surgery: A Guide to the Procedure

By 14 October 2025January 19th, 2026No Comments

A myomectomy procedure is a surgery to help with uterine fibroids. The Mayo Clinic says it removes fibroids from the uterus. This helps with heavy bleeding, pelvic pressure, and pain.

For those with symptomatic fibroids, myomectomy is a good choice. This surgery can be done in different ways. Open, laparoscopic, or robotic surgery each have their own advantages.

Key Takeaways

  • Myomectomy is a surgical procedure that removes fibroids from the uterus.
  • The goal of the surgery is to relieve symptoms such as heavy menstrual bleeding and pelvic pressure.
  • Myomectomy can be performed using different surgical techniques.
  • Patients can expect a detailed treatment plan, including tests before surgery and care after.
  • A whole-meal food plan is often given to help patients recover.

What Are Fibroids and Why Remove Them?

Knowing about fibroids is key for women thinking about surgery. Fibroids are non-cancerous growths in the uterus. They can make life hard due to symptoms like heavy periods and pain.

Definition of Fibroids

Fibroids, or uterine leiomyomas, are benign tumours in or around the uterus. The Mayo Clinic says they’re not cancerous but can cause big problems. These include very heavy periods and belly pain.

The exact cause of fibroids is not known. But genetics, hormones, and environment are thought to play a part in their growth.

Symptoms Indicating Surgery

Not all women with fibroids have symptoms. But for those who do, it can be tough. Symptoms that might mean surgery include:

  • Heavy or prolonged menstrual bleeding
  • Severe pelvic pain or pressure
  • Frequent urination due to bladder pressure
  • Constipation or bloating
  • Infertility or recurrent miscarriage

If these symptoms are severe and other treatments don’t work, fibroid tumor removal or surgery might be suggested.

Types of Fibroids

Fibroids come in different types, based on where they grow in or around the uterus. These include:

  1. Intramural fibroids: Grow within the muscular wall of the uterus.
  2. Submucosal fibroids: Project into the uterine cavity, leading to heavy bleeding.
  3. Subserosal fibroids: Grow outward from the uterus, possibly pressing on other organs.

Knowing the type of fibroid is key for choosing the right treatment. This includes deciding if surgery is needed and what kind of surgery is best.

Different Types of Fibroids Removal Surgery

There are many ways to remove fibroids, each suited to different needs. The right surgery depends on the fibroids’ size, location, and number. It also depends on the patient’s health and what they prefer.

It’s important to know about the different surgeries. The main options are myomectomy, hysterectomy, and some less invasive methods.

Myomectomy Explained

A myomectomy removes fibroids from the uterus but keeps it intact. It’s a good choice for those who want to keep their uterus or have more children. Thomson Medical says myomectomy can be done in hysteroscopic, abdominal, laparoscopic, and robotic surgery ways.

  • Hysteroscopic myomectomy removes fibroids through the vagina with a hysteroscope.
  • Abdominal myomectomy is traditional surgery, done through an abdomen incision.
  • Laparoscopic myomectomy uses small incisions and a laparoscope for fibroid removal.
  • Robotic myomectomy is a laparoscopic surgery with robotic technology for better precision.

Each method has its own benefits and downsides. For example, minimally invasive fibroid surgery like laparoscopic or robotic surgery can lead to less recovery time and scarring.

Hysterectomy Overview

A hysterectomy removes the uterus. It’s often chosen for women with big fibroids or severe symptoms. While it’s a more permanent solution, it’s a bigger surgery with a longer recovery.

“The decision to undergo a hysterectomy should be made after careful consideration and consultation with a healthcare provider, as it is a major surgery with significant implications for a woman’s reproductive health.”

Source: NHS Guidelines

Other Surgical Options

There are other surgeries like uterine artery embolization (UAE) and magnetic resonance-guided focused ultrasound surgery (MRgFUS). These are less invasive and might work for some patients.

Choosing the right surgery for fibroids is important. It’s best to talk to a best surgeon for fibroid removal for advice. The surgeon’s experience, care quality, and techniques used can greatly affect the surgery’s success.

Preparing for Fibroids Removal Surgery

Before fibroids removal surgery, several steps are needed. These steps help make the surgery smooth and successful.

Initial Consultations

The first step is a meeting with a surgeon. Here, you’ll talk about your symptoms and what you hope to achieve. The Mayo Clinic suggests bringing up your medical history, including past surgeries or health issues.

The surgeon will then suggest the best treatment for you. This is also a chance to ask about what to expect during recovery.

Pre-Surgical Tests

Before surgery, several tests are needed. These include:

  • Blood tests to check for anemia or other conditions
  • Imaging studies, such as ultrasound or MRI, to help plan the surgery
  • Other tests to assess overall health and identify any risks
Test Purpose
Blood Tests To check for anemia or other conditions
Imaging Studies (Ultrasound, MRI) To help plan the surgery
Health Assessments To identify any risks

Medication Adjustments

Before surgery, you might need to change your medication. This could mean stopping drugs that increase bleeding risks.

It’s vital to follow your surgeon’s advice on medication changes. Tell your surgeon about all drugs you’re taking, including supplements and over-the-counter medicines.

The Fibroids Removal Surgery Procedure

Choosing to have fibroids removed is a big decision. Knowing what the surgery involves can ease worries. The goal is to take out fibroids, which can lead to heavy bleeding, pain, and pressure on other organs.

Step-by-Step Overview

The surgery to remove fibroids has several steps. First, the patient gets anesthesia to stay comfortable. The type of anesthesia can be general, where you’re fully asleep, or regional, which numbs your lower body.

Next, the surgeon removes the fibroids. This can be done through an open cut or a smaller, less invasive method. The choice depends on the fibroids’ size, number, and location, as well as the patient’s health and the surgeon’s expertise.

Key Steps in Fibroids Removal Surgery:

  • Administration of anesthesia
  • Incision or minimally invasive access
  • Removal of fibroids
  • Closure of the incision

Anesthesia Used

The anesthesia used is very important. General anesthesia is often chosen, keeping you asleep and pain-free. Sometimes, regional anesthesia is better, for simpler cases or when it’s safer.

“The choice of anesthesia is tailored to the individual patient’s needs and the specifics of their condition, ensuring the safest and most comfortable experience possible.”

— Thomson Medical

Duration of the Surgery

The length of fibroids removal surgery varies. It depends on the procedure’s complexity, the approach, and the patient’s body. It can take from 30 minutes to several hours.

Surgical Approach Typical Duration
Minimally Invasive 30 minutes to 1 hour
Open Surgery 1 to 3 hours

Knowing about the surgery can help you feel more ready. It’s key to talk to your doctor about your situation and any worries you have.

Recovery After Fibroids Removal Surgery

Fibroids removal surgery is just the start of a recovery journey. The recovery time can vary, depending on the surgery type. Knowing what to expect can help patients prepare for a smooth recovery.

Immediate Post-Surgery Expectations

Right after surgery, patients might feel pain, discomfort, and bleeding. The Mayo Clinic says recovery can take weeks. The pain level depends on the surgery and the person’s pain threshold. Resting and avoiding hard activities is key during this time.

Common feelings right after surgery include:

  • Mild to moderate pain
  • Vaginal bleeding or spotting
  • Swelling or bruising around the surgical site
  • Fatigue

Managing Pain and Discomfort

It’s important to manage pain and discomfort during recovery. Surgeons often suggest a mix of pain meds and treatments. For example, minimally invasive fibroid surgery might cause less pain than open surgery.

Good ways to manage pain include:

  1. Following the pain medication plan
  2. Using heating pads or warm compresses for cramps
  3. Doing gentle stretches as the surgeon advises
  4. Getting enough rest

Follow-Up Appointments

Regular check-ups with the surgeon are vital. These visits help track recovery and address any issues. The surgeon can also remove stitches, staples, and guide on when to start normal activities.

To recover well, it’s important to:

  • Go to all scheduled follow-up appointments
  • Tell the surgeon about any unusual symptoms or worries
  • Follow the surgeon’s advice on post-operative care and recovery times

Choosing the best surgeon for fibroid removal is key. A skilled surgeon will perform the surgery well and give detailed care instructions for a smooth recovery.

Potential Risks and Complications

Fibroids removal surgery has risks and complications to think about. It’s important to know these to make a good choice about the surgery.

Risks Associated with the Surgery

The surgery has its own risks. These include bleeding, infection, and scarring. Bleeding might need a blood transfusion. Infection can be treated with antibiotics but may slow recovery. Scarring can happen inside and outside the body, depending on the surgery.

Talking to your surgeon about these risks is key. Your surgeon’s experience and your health can help lower these risks.

Long-Term Effects to Consider

There are long-term effects to think about too. One is adhesions, which can form between organs or the abdominal wall. These can cause bowel obstruction or infertility issues.

Also, the surgery might affect future pregnancies. While many women can get pregnant after myomectomy, it can sometimes harm the uterine wall. This might increase pregnancy complications.

Mitigating the Risks

To lessen the risks, surgeons suggest precautions. Avoid heavy lifting or hard work during recovery to prevent bleeding or adhesions. Eating well and staying healthy also helps recovery.

Regular check-ups with your surgeon are important. They help monitor healing and catch any problems early. By following your surgeon’s advice and going to follow-up appointments, you can lower the chance of long-term problems.

Lifestyle Changes Post-Surgery

Recovering from uterine fibroid surgery means making smart choices about what you eat, how you move, and your mental health. The Mayo Clinic suggests big lifestyle changes to help you heal and feel better.

Diet and Nutrition Tips

Eating well is key after removing fibroids. Eating more iron can help with tiredness and weakness. Iron-rich foods like red meat, spinach, and fortified cereals are good choices. Try to eat smaller meals often to make digestion easier.

A sample meal plan might include:

Meal Foods Recommended
Breakfast Oatmeal with fruits and nuts
Lunch Grilled chicken with quinoa and steamed vegetables
Dinner Baked salmon with sweet potatoes and green beans

“A healthy diet is fundamental to recovery. Ensuring adequate nutrition helps the body heal faster and reduces the risk of complications.”

— British Dietetic Association

Exercise Recommendations

Exercise is important for getting better after fibroid surgery. But, avoid heavy lifting or hard activities for a few weeks. Gentle activities like walking or yoga can help your blood flow and prevent clots.

  • Start with short walks and gradually increase the duration
  • Practice gentle stretching exercises to maintain flexibility
  • Avoid high-impact activities until fully recovered

Emotional Health Support

Looking after your emotional health is critical after uterine fibroid surgery. Counseling or support groups offer a place to talk about feelings and worries. They help you deal with the emotional side of surgery and recovery.

As health professionals say, asking for help is a sign of strength, not weakness. It’s okay to reach out to healthcare providers for advice on emotional support services.

Fertility Considerations After Surgery

Thinking about having kids after fibroids surgery is important. The surgery type affects future pregnancies.

Effects on Future Pregnancies

The surgery’s impact on future pregnancies varies. Minimally invasive fibroid surgery is better for keeping fertility, as it harms the uterus less.

A study by Thomson Medical shows fertility can return months after surgery. It’s key to talk about future pregnancies with a doctor.

Surgical Procedure Impact on Fertility Recovery Time
Myomectomy Generally preserves fertility Several weeks to months
Hysterectomy Eliminates fertility Varies depending on the individual
Minimally Invasive Surgery Less damage to uterine tissue Typically shorter than open surgery

Timing of Fertility Restoration

When fertility returns after surgery varies. It depends on the surgery type, health, and other fertility issues.

Talking to your surgeon about fertility plans is key. Find the best surgeon for fibroid removal to understand the impact and timing.

Counseling and Support Options

Dealing with fertility and pregnancy after surgery can be tough. Counseling and support options help women cope.

  • Access to fertility counselors
  • Support groups for women undergoing similar experiences
  • Resources for understanding and managing fertility post-surgery

Understanding fertility after fibroids surgery helps women make informed choices about their reproductive health and future pregnancies.

Frequently Asked Questions About Surgery

Thinking about fibroids removal surgery raises many questions. This section aims to clear up some of these, giving reassurance to those making this big decision.

Selecting a Qualified Surgeon

Finding the right surgeon is key. The Mayo Clinic suggests choosing someone experienced in fibroids surgery. They should have a good success rate.

Look at the surgeon’s experience with myomectomy procedures or similar surgeries. Check their credentials, success rates, and what past patients say.

Understanding Costs and Insurance

The cost of surgery varies a lot. It depends on the surgery type, surgeon’s fees, and insurance. Talk to your insurance to know what’s covered and what you’ll pay yourself.

Insights from Patient Testimonials

What others say about surgery can be very helpful. Their stories can reassure you and help you know what to expect.

Learning from others can make you feel more ready for surgery and recovery. It makes the whole process less scary.

Resources and Support Groups

Patients who have had uterine fibroid surgery find great help in reliable info and emotional support. The Mayo Clinic and the American College of Obstetricians and Gynecologists are top sources. They offer detailed info on fibroid removal and recovery.

Reliable Sources of Information

The Mayo Clinic has detailed guides on the procedure, risks, and care after surgery. These guides help patients make smart choices about their treatment.

Support Organizations

The Fibroid Treatment Collective is a place for patients to meet others who’ve gone through the same. This network is key in fighting feelings of loneliness and giving emotional support.

Connecting with Others

Being part of support groups, online or in-person, lets patients share and learn from others. This community support is a big help in the recovery journey. It helps patients deal with the emotional side of their experience.

FAQ

What is the difference between a myomectomy and a hysterectomy?

A myomectomy removes fibroids from the uterus but keeps it intact. A hysterectomy removes the uterus entirely. Women who want to keep their fertility often choose myomectomy. Those with large fibroids or severe symptoms might opt for hysterectomy.

What are the benefits of minimally invasive fibroid surgery?

Minimally invasive fibroid surgery, like laparoscopic or robotic surgery, has many benefits. It reduces recovery time and scarring. With smaller incisions and less tissue damage, patients experience less pain and discomfort.

How long does it take to recover from fibroids removal surgery?

Recovery from fibroids removal surgery can take weeks. It depends on the surgery type and the patient’s health. Patients may feel pain, discomfort, and bleeding. These symptoms can be managed with pain medication and other treatments.

Can fibroids removal surgery improve fertility?

Fibroids removal surgery, like myomectomy, can help with fertility. It’s most effective for women with fibroids that block conception. The success depends on the surgery type, extent, and individual factors.

How do I choose the right surgeon for fibroids removal surgery?

Choosing the right surgeon involves researching their experience and credentials. Look for a board-certified surgeon with fibroids removal surgery experience. Discuss treatment goals and expectations to ensure a successful outcome.

What are the costs associated with fibroids removal surgery?

The costs of fibroids removal surgery vary. They depend on the surgery type, surgeon’s fees, and insurance coverage. Check with your insurance provider to understand your coverage and any out-of-pocket costs.

Are there any support groups for women who have undergone fibroids removal surgery?

Yes, there are support groups for women who have had fibroids removal surgery. These groups offer emotional support and connect women. You can find them through reputable sources like the Fibroid Treatment Collective.