What is a Myomectomy?

A myomectomy is a surgery to remove the fibroid tumors from the uterus. It allows the uterus to be untouched and makes pregnancy more likely than before.

The uterus is part of a woman's reproductive system. It's the organ that contains and protects a growing fetus during pregnancy.

Fibroids are non-cancerous tumors that grow on the inner or outer wall of the uterus. They are quite common - as many as 20% of women over 30 have them. In most cases fibroids do not cause any discomfort and are never detected.

Occasionally, however, fibroid tumors can cause problems. Complications from fibroid growth can include:

  • pressure on the urinary system,
  • pressure on the intestines,
  • interference with the reproductive system and/or
  • infection.

Because these tumors can grow to be very large, surgery is usually recommended in order to restore health and to protect the uterus.

After you are asleep, a horizontal incision will be made across your lower abdomen.

Your doctor will use an instrument called a retractor to pull the skin aside, exposing your abdominal muscles.

The surgeon then separates the muscles by making a vertical incision.

Another retractor is used to pull aside the muscles and hold them in place. The fibroid will now be visible.

Using a pair of forceps, your doctor will take hold of the fibroid and pull it up and away from the wall of the uterus.

Next, you doctor will cut the connection between the fibroid and the uterus. The fibroid is then removed and a series of stitches are used to close incisions.

First, the uterine wall is closed.

Then, the muscle retractor is removed and the abdominal muscles are sewn together.

Finally, the incision in the skin is closed and a sterile bandage is applied to the site.

This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your physician.