What Is a Myomectomy?

A myomectomy removes one or more uterine fibroids without removing the uterus. Unlike hysterectomy, it may preserve the possibility of future pregnancy.

The appropriate surgical method depends on the fibroids’ size, number, depth, and location.

Types of Myomectomy

A Busan gynecologist may recommend:

• Laparoscopic myomectomy: Fibroids are removed through small abdominal incisions.
• Robotic myomectomy: Robotic instruments assist with minimally invasive surgery.
• Hysteroscopic myomectomy: Fibroids inside the uterine cavity are removed through the vagina and cervix.
• Open abdominal myomectomy: A larger incision is used for numerous, very large, or deeply embedded fibroids.

When Is Myomectomy Recommended?

Myomectomy may be considered for fibroids causing:

• Heavy or prolonged periods
• Anemia
• Pelvic pain or pressure
• Frequent urination or constipation
• Abdominal enlargement
• Difficulty becoming pregnant
• Recurrent pregnancy loss

Not every fibroid requires surgery. Small fibroids without symptoms may only need monitoring.

Diagnosis and Surgical Planning

Before surgery, the gynecologist may perform:

• Pelvic examination
• Pelvic or transvaginal ultrasound
• MRI for detailed fibroid mapping
• Blood tests to check for anemia
• Hysteroscopy for fibroids inside the uterine cavity
• Fertility evaluation when necessary

Bring previous imaging and medical reports when consulting a clinic in Busan.

Recovery After Myomectomy

Recovery varies according to the surgical technique. Hysteroscopic and laparoscopic procedures generally allow a faster return to normal activities than open abdominal surgery.

Temporary symptoms may include abdominal pain, fatigue, bloating, vaginal bleeding, and incision discomfort. Follow your surgeon’s instructions regarding lifting, exercise, intercourse, wound care, and travel.

Fertility and Pregnancy After Myomectomy

Myomectomy may improve fertility when fibroids interfere with the uterine cavity or reproductive function. However, pregnancy is not guaranteed, and scar tissue can occasionally affect fertility.

Patients are usually advised to wait until the uterus has healed before trying to conceive. Depending on the depth and location of the uterine incisions, a future cesarean delivery may be recommended.

Possible Risks

Potential complications include:

• Bleeding or blood transfusion
• Infection
• Pelvic adhesions
• Injury to nearby organs
• Conversion to open surgery
• Uterine scarring
• Fibroid recurrence
• Rare need for hysterectomy due to uncontrolled bleeding

Your surgeon should explain the individual benefits and risks before treatment.

Myomectomy for International Patients in Busan

International patients can arrange fibroid evaluation and surgery near Seomyeon, Haeundae, Centum City, and other areas of Busan. Look for a hospital offering English-speaking coordination, transparent cost estimates, anesthesia support, hospitalization assistance, and postoperative follow-up.

Allow enough time in Korea for preoperative testing, surgery, recovery, and the first follow-up appointment.

Frequently Asked Questions

Is myomectomy better than hysterectomy?
Myomectomy preserves the uterus, while hysterectomy removes it permanently. The appropriate choice depends on your symptoms, age, fibroid characteristics, and pregnancy plans.

Can fibroids return after myomectomy?
Yes. Surgery removes existing fibroids but does not prevent new ones from developing.

How long does myomectomy take?
Surgery time depends on the number, size, and location of the fibroids and the technique used.

How long will I stay in the hospital?
Some minimally invasive procedures require a short stay, while open surgery may require several days of hospitalization.

Can I become pregnant after myomectomy?
Many women can conceive after recovery, but fertility outcomes depend on several factors beyond fibroids.

Book a Myomectomy Consultation in Busan

Consult a gynecologic surgeon in Busan to review your symptoms, imaging, fertility plans, surgical options, expected recovery, and recommended length of stay in Korea.