Uterus-sparing Myoma

Uterus-Preserving Myoma Surgery (Myomectomy) – Patient Information Guide

What is Uterus-Preserving Myoma Surgery?

Uterus-preserving myoma surgery (myomectomy) is a surgical procedure that involves removing myomas while preserving the uterus. It is particularly preferred in patients who wish to have children.

Purpose

To remove myomas, alleviate symptoms, and preserve uterine function.

When is it Performed?

• Excessive menstrual bleeding
• Pelvic pain or pressure sensation
• Patients planning pregnancy
• Rapid growth of myomas

How is it Performed?

• Myomas are removed individually
• The uterine wall is repaired
• The procedure can be performed via open surgery, laparoscopy, or vNOTES

Methods

• Open surgery (laparotomy)
• Laparoscopic myomectomy
• Hysteroscopic myomectomy (for intrauterine myomas)
• vNOTES myomectomy (in selected cases)

Advantages

• Uterus is preserved
• Chance of pregnancy continues
• Symptoms are reduced

Disadvantages

• Myomas may recur
• There are risks associated with surgery

Post-Surgery

• Recovery time varies depending on the method
• Return to normal life within 2–6 weeks
• Doctor check-ups are important

Pregnancy Planning

• Pregnancy is generally recommended after 3–6 months
• The procedure performed on the uterine wall plays an important role

Possible Risks

• Bleeding
• Infection
• In rare cases, removal of the uterus may be necessary

Clinical Fact

Myomectomy provides successful results by preserving the uterus in suitable patients. However, patient selection and surgical technique are important.

Conclusion

Uterus-preserving myoma surgery is an effective and safe treatment option, especially for patients who wish to preserve their fertility.