Uterine Myomectomy and Uterine Hysterectomy
Uterine fibroids are believed to lead to heavy periods but if they do not cause major problems, a person might decide to avoid treatment. According to specialists, treatment is only recommended for those women who experience symptoms as a result of fibroids. If they do not affect the quality of life, treatment might be not necessary. During menopause, symptoms normally become less apparent or can even resolve completely.
The decision on the treatment plan is taken based on the location of fibroids, the severity of symptoms and future childbearing plans. Dr. Robert Rainer is a Board Certiﬁed Gynecological surgeon practicing in New York and Los Angeles for over 25 years. Currently based in New York, Dr. Robert Rainer performs surgery to treat Uterine Fibroids. These two surgeries are Uterine Myomectomy and Uterine Hysterectomy.
What is Uterine Myomectomy?
A Uterine Myomectomy is a surgical procedure to remove only the uterine fibroid.
Uterine Myomectomy is a surgical intervention aimed to remove uterine fibroids only.
With a Myomectomy, only the uterine fibroid is removed while the uterus, fallopian tubes, and ovaries remain intact. These patients than often have normal menstrual flow and in many cases, are able to become pregnant and carry and deliver their baby without the fear of fibroid caused miscarriage.
What to Expect During the Surgery?
This type of surgery is known as an open surgery because of the large incisions in the abdomen through laparoscopy. This is performed with the use of a camera and small incisions. It can be also done through hysteroscopy. This is when the fibroids are removed through the vagina and cervix.
What to Expect During Recovery?
If you commit to this surgery you have to clearly understand that an overnight stay in the hospital is required. The approach used for the myomectomy highly impacts the period of time you will have to stay in the hospital. For instance, laparoscopy or hysteroscopy will require only one-night stay while an open procedure can lead to several days of stay in the hospital. It should be also sai that you will be in high need for strong pain medication for 24 hours following the procedure. You will also experience vaginal spotting for up to 6 weeks and you will be restricted from having sex during the recovery process. It is not possible to state the exact recovery time but it normally varies between 2 to 6 weeks.
What Are the Advantages and Disadvantages of Myomectomy?
The advantages of this surgery are:
- Ability to have children due to the uterus being preserved
- Fibroids get removed
The disadvantages include:
- A chance of not removing all the fibroids
- Long recovery process
- Possibility of fibroids growing again
What is Uterine Hysterectomy?
A Uterine Hysterectomy is the removal of the entire uterus along with its contained fibroid tumors.
Uterine Hysterectomy is the process of removing the entire uterus.
The hormone producing ovaries remain intact. These patients are cured from their burden of heavy bleeding and protruding abdomen.
What to Expect During Uterine Hysterectomy?
- This surgery is performed through the vagina, a large incision in the abdomen or through laparoscopy. Apart from that, there are different types of hysterectomy:
- Total hysterectomy: it means uterus and the cervix will be completely removed
- Supracervical hysterectomy: it means that the upper part of the uterus will be removed while keeping the cervix in place
- Radical hysterectomy: it involves the removal of structures around the uterus. It is normally done when cancer is suspect or present.
What to Expect During the Recovery Process?
The initial part of the recovery process is completed in a hospital due to the fact that this surgery is performed under general anesthesia. In addition to that, women typically stay in a hospital for about 2 to 3 days during which women experience strong pain. You can also expect vaginal bleeding in the beginning and it can last for up to 6 weeks. Some women can also experience an emotional response to no longer being able to have kids, while others are happy from getting rid of the symptoms of fibroids. The full recovery process generally takes 6 weeks during which a patient is not allowed to go to work.
What Are the Advantages and Disadvantages of Hysterectomy Surgery?
The main advantage of this type of surgery is being able to get rid of uterine fibroids and not caring about them coming back. There are also disbenefits of this procedure, which include: inability to get pregnant, higher surgical risk and long recovery duration.
Dr. Robert Rainer performs these surgical procedures using a laser and a small surgical bikini cut incision. His plastic surgery closure of the incision makes the healed incision often barely noticeable. Many insurances, cash, and credit cards are accepted.