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What is a myomectomy?

A myomectomy refers to a procedure to surgically remove fibroids. Fibroids are non-cancerous growths of tissue within the walls of the uterus. A myomectomy enables women to have the fibroids removed and remove the troublesome side-effects that they can cause, keeping the womb intact, and preserving fertility. A myomectomy is a minimally-invasive alternative to hysterectomy. If you wish to become pregnant after a myomectomy, you should have a better chance of conceiving.

Why have a myomectomy?

Heavy and painful periods which cause a variety of issues, including anaemia are one of the reasons women are keen to have a myomectomy.

Although the submucosal kind of fibroids are small (about an inch in circumference), they are the type most associated with heavy bleeding.

Fibroids can also cause women to have to urinate frequently. This can be a real problem when it interferes with sleep.

What happens during a myomectomy?

This is a procedure to remove fibroids through a large cut made horizontally along your lower abdomen, or vertically from your belly button to lower abdomen.

This will cause the muscles to separate. Sometimes small fibroids can be removed by keyhole (laparoscopic) surgery through a small cut made on the abdomen.

An incision will be made in the lower abdomen. After removing the fibroids, each layer of tissue in the uterus will be stitched. This will prevent blood clots, excess bleeding, and infection. Lastly, the stitches will be used to close the incision area.

How do you prepare for a myomectomy?

Your doctor may recommend shrinking fibroids with gonadotropin-releasing hormone analogue (GnRH-a) therapy which lessens oestrogen levels and can also help prevent anaemia, as it stops bleeding.

Most doctors prefer you not to be menstruating during the procedure.

Do I need an anaesthetic for myomectomy?

Traditionally, an anaesthetic has been used when performing a myomectomy. But the latest techniques mean a myomectomy can be done under local anaesthetic in a treatment room – a practice sometimes known as office gynaecology. Clinics who use the MyoSure system can remove fibroids in minutes. Women can walk into the clinic – and then walk out again. A big advantage to this technique is the fact no anaesthetic is required, thus reducing the risk of complications.

How does outpatient myomectomy work?

Specialists in MyoSure can remove fibroids by placing a telescope (hysteroscope) inside the uterus, and using skilled techniques to carefully remove the fibroid tissue. The MyoSure myomectomy technique is suitable for submucosal fibroids or endometrial polyps, measuring about an inch. The patient is fully awake, but will have been give the optimal amount of pain-relieving medication. Patients who have had this technique done report back that discomfort levels are no more than 1 to 2 out of ten. The patients can go home immediately after the procedure.

What are the advantages of having a myomectomy using the MyoSure system?

For any patient who is nervous about having a a general anaesthetic and who wishesto have minimal downtime, using MyoSure is the perfect way to deal with fibroids that cause heavy periods. The patient can keep in control and talk to the medical staff for absolute reassurance. Infection and complications are also reduced; for women who lead busy lives, the fact you can resume everyday activities is very appealing.

Do I feel any pain during these outpatient procedures?

There may be some discomfort, but this is usually minor and feels like period pains. On a scale from 0 to 10, patients usually grade their pain/discomfort at around 1 to 2.

Research shows 97% of women who have had a MyoSure myomectomy would recommend

How can you prepare for an outpatient myomectomy?

You won’t need to fast, but your consultant gynaecologist will recommend you take some pain relief (Paracetamol or Ibuprofen) about an hour before the procedure, and if your prone to nausea you may be prescribed Ondansetron.

What happens after the MyoSure procedure?

There are minimal side-effects from a MyoSure. There may be some spotting for a few days, but this shouldn’t interfere with your life, and you can be back in your usual routine. Some women have been known to go back to their desks on the day of the procedure.

Who are the best doctors for MyoSure myomectomy?

Mr Francis Gardner and Mr Pandelis Athanasias are amongst the most experienced  consultants for office gynaecology, regularly carrying procedures such as MyoSure myomectomy within hospitals in London and the rest of the UK.

Mr Francis Gardner has the most experience of hysteroscopic resection with MyoSure in Europe. He has performed the MyoSure myomectomy for more than  1500 women.