Dr Sam Holford showing an MRI scan

Laparoscopic Myomectomy

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove fibroids (also called leiomyomas or myomas) from the uterus. It’s often recommended for individuals who have symptoms like heavy periods, pelvic pressure, or infertility due to fibroids.

Why is it done?

Fibroids are non-cancerous growths of the uterine muscle that can cause symptoms such as:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pressure or pain
  • Frequent urination or difficulty emptying the bladder
  • Pain during sex
  • Fertility challenges

If medication or other less invasive treatments haven’t helped, surgery might be recommended. Myomectomy preserves the uterus, so it’s often the procedure of choice for those who want to retain fertility.

What to expect

Laparoscopic myomectomy is performed under general anaesthesia. Small incisions (typically 3–4) are made on the abdomen, and long instruments are inserted along with a laparoscope (a camera). The fibroids are carefully removed, and the uterus is reconstructed.

You’ll usually stay in hospital for a night, and full recovery generally takes 4–6 weeks.

Potential risks include:

  • Bleeding (rarely requiring transfusion)
  • Infection
  • Adhesions (scar tissue)
  • Need for future surgery
  • Uterine rupture or placenta accreta spectrum in future pregnancy (rare, but relevant for larger or deeper fibroids)

Recovery

  • Mild to moderate pain for a few days, managed with oral pain relief.
  • Spotting for 1–2 weeks is common.
  • Avoid heavy lifting and vigorous exercise for 4 weeks.
  • Most people can return to work within 2–3 weeks, depending on their job.
  • Future pregnancies are usually possible, but timing and method of delivery should be discussed.

Read more in my Surgical Recovery Toolkit.

Dr Sam Holford

Is myomectomy for you?

Treat fibroid symptoms without a hysterectomy. I offer expert myomectomy (fibroid surgery) in Auckland to relieve bleeding & pressure while preserving your uterus.

Book an appointment

FAQs

Can I get pregnant after a myomectomy?
Yes, a myomectomy is a fertility-preserving surgery. For many people, removing fibroids can improve the chances of conception. We will discuss the ideal timing for trying to conceive after your surgery, which is usually after a healing period of a few months.
Will I need a caesarean for future pregnancies?
Whether you need a caesarean depends on how deeply the fibroids were embedded in the uterine wall. If the uterine cavity was entered during the surgery, a planned caesarean is usually recommended to ensure the safety of both you and your baby during delivery.
Can my fibroids grow back after surgery?
A myomectomy removes the existing fibroids, but it does not prevent new ones from growing. There is a chance that new fibroids could develop in the future, which might require further treatment, but for many, the surgery provides long-lasting symptom relief.
What is the recovery like for a laparoscopic myomectomy?
Recovery is much faster than with traditional open surgery. Most people stay in the hospital for one night and can return to light activities and a desk job within 2-3 weeks. Heavy lifting and strenuous exercise should be avoided for about 4-6 weeks to allow the uterine muscle to heal properly. Read more in my Surgical Recovery Toolkit.
What are the alternatives to a myomectomy?
Alternatives depend on your symptoms and fertility goals. They can include hormonal medications (like the pill or a Mirena IUD) to control bleeding, or other procedures like uterine artery embolisation. If you have completed your family, a hysterectomy is another option. We will discuss all suitable alternatives with you.

Trusted Resources

Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.