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💜 Organ-preserving surgery

Myomectomy: Preserving the Uterus

Removal of fibroids with full preservation of the uterus and fertility. Laparoscopic or open — the professor chooses based on your situation.

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✓uterus preserved
✓pregnancy possible
1–3days in hospital
2–4weeks of recovery
What is myomectomy

Remove Fibroids and Preserve the Uterus

Myomectomy is an operation to remove fibroids (leiomyomas) while preserving the uterus. This is the key difference from hysterectomy, in which the uterus is removed entirely.

💡 The key advantage of myomectomy: a woman keeps the ability to become pregnant and have children. For many patients this is the main factor when choosing treatment.

Professor S. Sushkov specializes in organ-preserving surgery. Laparoscopic myomectomy is performed through 3–4 small incisions; open (laparotomic) myomectomy is used for large or multiple fibroids when it gives a better result.

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Comparison of methods

Myomectomy or Hysterectomy

If you are planning a pregnancy or want to keep your uterus, myomectomy is the method of choice.

Criterion Myomectomy Hysterectomy
Uterus ✓ Preserved ✗ Removed
Pregnancy after surgery ✓ Possible ✗ Not possible
Fibroid recurrence Possible (10–30% within 5 years) ✓ Not possible
Periods ✓ Continue ✗ Stop
Recovery (laparoscopy) 2–4 weeks 4–6 weeks
Indications

When Myomectomy Is Needed

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Pregnancy planning

Fibroids distort the uterine cavity and prevent implantation. Myomectomy removes this cause of infertility.

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Heavy bleeding

Heavy periods leading to anemia. Removing the fibroids normalizes the menstrual cycle.

⚡

Pain

Lower abdominal pain and pressure on the bladder and rectum caused by large fibroids.

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Rapid fibroid growth

Growth of fibroids by more than 4–5 cm in a year is an indication for surgery regardless of symptoms.

How the operation is performed

How Myomectomy Is Performed

1

Consultation — by appointment

Review of ultrasound and uterine MRI, the number and location of fibroids. The professor chooses the method (laparoscopy or laparotomy) and answers your questions.

2

Preoperative assessment

Blood tests, Doppler ultrasound, pelvic MRI, anesthesiology consultation. If needed — 1–3 months of hormonal therapy to shrink the fibroids.

3

Surgery under general anesthesia

Lasts 60–180 minutes depending on the number and size of fibroids. All fibroids are removed and the uterine wall is sutured to restore its structure.

4

Hospital stay 1–3 days

Postoperative monitoring, pain relief, follow-up ultrasound. Discharge with recommendations.

5

Pregnancy planning

Pregnancy can be planned 6–12 months after surgery, once the uterine scar has fully healed. A checkup and ultrasound before conception.

Frequently asked questions

About Myomectomy

Can I become pregnant after myomectomy?
Pregnancy after myomectomy is possible, but timing depends on the extent of surgery and uterine healing. Your treating physician should advise you.
Should an asymptomatic fibroid be removed?
Small asymptomatic fibroids can often be monitored. Surgery depends on growth, bleeding, pain, anemia, pressure symptoms, and reproductive plans.
Can fibroids return after surgery?
New fibroids may develop after existing nodules are removed. Risk depends on age, number of nodules, and other factors; follow-up is recommended.
Which is better: laparoscopy or open surgery?
The method is selected individually according to fibroid size, number and location, previous surgery, and pregnancy plans.
Can I have a vaginal birth after myomectomy?
The mode of delivery depends on the depth of uterine incisions, scar location, and pregnancy course. The obstetrician should make this decision.
How does myomectomy differ from hysterectomy?
Myomectomy removes fibroids while preserving the uterus. Hysterectomy removes the uterus. Choosing the procedure requires individual assessment.
What fibroid size requires surgery?
The decision depends not only on size but also growth, symptoms, location, anemia, pressure on adjacent organs, and reproductive plans.
How long does myomectomy take?
Duration depends on the number, size, and location of fibroids, surgical approach, and complexity. The surgeon estimates this after evaluation.
How long is recovery after myomectomy?
Recovery depends on laparoscopic or open access and the extent of surgery. Individual instructions are provided at discharge.
Which fibroid treatment methods are available?
Options may include observation, medication, hysteroscopic, laparoscopic or open myomectomy, and other approaches. Selection is individualized.
When do fibroids require urgent care?
Seek urgent care for severe pain, heavy bleeding, fainting, marked weakness, or rapid deterioration.

Preserve the Uterus — Book a Consultation

An individual treatment plan and an organ-preserving approach. Consultation by appointment.

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