—x-rays taken of the kidneys, ureters, and bladder after a contrast medium is injected into a peripheral vein (done if the fibroids are affecting the ureters)
You should discuss with your doctor:
Whether you should have hormone treatment for 2-4 months before the procedure—This treatment shrinks fibroids. It makes them easier to remove and reduces the risk of excess blood loss during the procedure.
If cancer is found in the uterus—One option is to remove the uterus during the myomectomy.
Whether you should donate your own blood for the procedure
Leading up to your procedure:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
Arrange for a ride home from the hospital. Also, arrange for help at home.
Do not eat or drink for at least eight hours before the procedure.
is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
Description of the Procedure
The doctor will make an incision in the lower abdomen. Muscles will be separated, and tissue will be cut to expose the uterus. Next, the doctor will remove the fibroids. In some cases, you will be given a drug called Pitressin before the fibroid is removed. This drug will reduce the amount of blood loss.
After removing the fibroids, the doctor will stitch each layer of tissue in the uterus. This will prevent blood clots, excess bleeding, and infection. Lastly, the doctor will use stitches to close the incision area.
Immediately After Procedure
After the procedure, you will be:
Taken to the postoperative area
Watched for complications
Given IV fluids and medicines
How Long Will It Take?
Will It Hurt?
You will have abdominal pain and discomfort for 7-10 days. Your doctor will give you pain medicine to help control the pain.
Average Hospital Stay
Full recovery will take about 4-6 weeks. When you return home, do the following to help ensure a smooth recovery:
Be sure to follow your doctor's
Wear sanitary pads or napkins to absorb blood. The first menstruation after the procedure may be heavier than normal.
Try to walk often. This will decrease the risk of
Take medicines as prescribed by your doctor. If you had to stop medicines before the procedure, ask your doctor when you can start again.
Bathe or shower as normal. Gently wash the incision area gently with mild soap.
Ask your doctor when you will be able to:
Return to work and drive
Resume sexual activity
Resume strenuous activity (You may need to wait 2-6 weeks.)
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
Excessive vaginal bleeding (soaking more than one pad per hour) after the procedure
Excessive vaginal discharge that continues beyond one month after the procedure
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a