Myomectomy

In a myomectomy, your surgeon will remove non-cancerous growths (called fibroids) from the wall of your womb.

Who is suitable for a myomectomy?

Fibroids are non-cancerous growths in the womb. Many women who have fibroids are unaware that they have them. However, some women experience a range of symptoms. Your consultant might recommend a myomectomy to remove fibroids that are causing symptoms, such as: 

  • Heavy or painful periods 
  • Abdominal pain 
  • Frequently needing to urinate or difficulty emptying your bladder 
  • Constipation  
  • Backache or leg pain.    

Some women also experience pain during sex and difficulties getting pregnant due to fibroids.  

 Depending on the size, position and number of your fibroids, your consultant may recommend a myomectomy. It can be an alternative to a hysterectomy, if you want to try to have children. 

What does a myomectomy involve?

Myomectomies are carried out under general anaesthetic. They usually take one to two hours.

If you have a myomectomy involving keyhole surgery (laparoscopic), your consultant will make a number of small incisions in your tummy. They will then use a laparoscope, a thin telescopic instrument, inserted through the incisions to investigate and remove the fibroids.

In an abdominal myomectomy (open surgery), your surgeon makes a single larger incision across your tummy to access your uterus and remove the fibroids.

For a robotic myomectomy, your surgeon will use the da Vinci Xi surgical robot – a pair of highly advanced robotic arms – to assist. In the operating theatre, your surgeon will operate the robotic arms using a console. These arms hold a camera and surgical equipment and enable the surgeon to make very precise movements in the body. Robotic surgery allows your surgeon to remove larger fibroids through small incisions.

Robotic arms are inserted through these small holes and connected with consoles. The surgeon then uses his hands to control the arms and carries out the operation very precisely. The robotic surgery allows your surgeon to remove larger fibroids through the small hole.

The advantage of a robotic myomectomy is that it enables your surgeon to carry out this procedure with great precision. This causes less scarring and means you will recover more quickly.

What is the recovery period?

If you have a laparoscopic myomectomy, you’ll normally spend a night in hospital resting afterwards. After that you’ll recover at home. The full recovery time is about two to four weeks.

If you have an abdominal myomectomy, you may need to stay in hospital for a few nights afterwards. The recovery time at home is also longer – up to six weeks.

If you have a robotic myomectomy, you may be able to go home that same day. Or you may need to stay overnight in the hospital. After that you’ll recover at home. The full recovery time is about two to four weeks.

What can you do to prepare for the procedure?

Your consultant will discuss with you how you can prepare. You will be advised to avoid eating or drinking for a few hours before the operation.    

Self-pay package

As well as working with all major insurance companies, we also welcome patients who wish to pay for themselves. We offer a range of self-pay package options, including:

  • Fixed Price Packages: these are comprehensive, all-inclusive packages that group everything you may need for treatment into one clear price. All of our Fixed Price Packages include pre-admission tests, procedure, all professional fees, all post-op outpatient care and any other consultant-recommended services as part of your treatment.

Below is an outline of our Fixed Price Package.

Included in the package price:

  • Consultant Surgeon and Consultant Anaesthetist procedure fees.
  • Two follow-up consultations with consultant within post-op timeframe.
  • Pre-admission outpatient tests, which includes standard pathology and diagnostic tests (ECG & Chest X-ray), if required.
  • Recovery and accommodation which includes a stay in a private en-suite room.
  • Ward medications, dressings, and ward nursing consumables.
  • Theatre Procedure, including anaesthetic drugs and theatre consumables.
  • Theatre Prosthesis.
  • Pathology and histology, if required.
  • Standard post–op medication issued and used during the inpatient stay.
  • Inpatient physiotherapy and surgical stockings, if required.
  • Discharge medication pertaining to the condition being treated by this package.
  • All patient meals and non-alcoholic beverages.
  • Return to theatres within one week of the procedure date due to complication.
  • Post-op pertaining to the procedure within two nights.

Excluded from the package price:

  • Take out supplies.
  • Companion beds and catering for relatives / visitors.
  • Personal expenses –telephone calls, additional catering, ambulances, etc…

If additional night’s stay, diagnostics, or other services are requested from your consultant you will not be charged in addition for these as these are included within the Fixed Price Package.

Consultants offering this package:

When enquiring about this package please quote Q0920.

Included in the package price:

  • Consultant Surgeon and Consultant Anaesthetist procedure fees.
  • Two follow-up consultations with consultant within post-op timeframe.
  • Pre-admission outpatient tests, which includes standard pathology and diagnostic tests (ECG & Chest X-ray), if required.
  • Recovery and accommodation which includes a stay in a private en-suite room.
  • Ward medications, dressings, and ward nursing consumables.
  • Theatre Procedure, including anaesthetic drugs and theatre consumables.
  • Theatre Prosthesis.
  • Pathology and histology, if required.
  • Standard post–op medication issued and used during the inpatient stay.
  • Inpatient physiotherapy and surgical stockings, if required.
  • Discharge medication pertaining to the condition being treated by this package.
  • All patient meals and non-alcoholic beverages.
  • Return to theatres within one week of the procedure date due to complication.
  • Post-op pertaining to the procedure within two nights.

Excluded from the package price:

  • Take out supplies.
  • Companion beds and catering for relatives / visitors.
  • Personal expenses –telephone calls, additional catering, ambulances, etc…

If additional night’s stay, diagnostics, or other services are requested from your consultant you will not be charged in addition for these as these are included within the Fixed Price Package.

Consultants offering this package:

When enquiring about this package please quote Q0930.

Why choose Cromwell Hospital?

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Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone