A minimally invasive procedure, a hysteroscopic procedure addresses uterine issues, such as fibroids. Hysteroscopic myomectomy complications are rare, as a vaginal myomectomy eliminates incisions. Even an open myomectomy uses small incisions, which reduces bleeding after the surgery. There are many advantages of myomectomy vs. hysterectomy procedures, especially for women in their childbearing years.
Hysteroscopic Myomectomy / Polypectomy Procedure
A myomectomy is a surgery that should only be performed by the best gynecologist in Queens. It’s a procedure for removing uterine fibroids and endometrial polyps. These common noncancerous growths can appear in or on your uterus, usually during childbearing years, but also at any age. Uterine fibroids can cause:
- Heavy menstrual bleeding and the resulting anemia
- Pelvic pressure and pain
- Fertility issues, including infertility
Removing fibroids relieves those symptoms, improves your health and increases your chance of pregnancy. Depending on the size, number, and location of your uterine fibroids, your Forest Hills, Queens gynecologist decides which of three different ways to perform a myomectomy is best suited for you:
- The open myomectomy involves a horizontal or vertical incision in your abdomen, accessing your uterus and other pelvic organs directly.
- The laparoscopic myomectomy uses a telescope and small instruments inserted into half-inch incisions.
- The hysteroscopic or vaginal myomectomy requires no incisions since the doctor accesses your uterus through your vagina.
A Hysteroscopic Myomectomy Explained
In the past, only one option was available for women suffering from the symptoms of fibroids: an open myomectomy. The risks of this procedure included all those associated with major surgery, including infection to your major abdominal and pelvic organs. A longer hospital stay and recovery time were common. Today, there are alternatives.
The most minimally invasive procedure is the hysteroscopic myomectomy or vaginal myomectomy. This operation uses a system developed by MyoSure. Your gynecologist can perform this procedure if the uterine fibroids are embedded in the uterine wall and bulge into the uterine lining. During the procedure, your doctor reaches the fibroids using instruments inserted into your vagina and through your cervix.
The Hysteroscopic Myomectomy Procedure
If your doctor suspects fibroids are interfering with your fertility, this procedure saves your uterus so you have children. That’s the biggest advantage with myomectomy vs. hysterectomy, which removes your uterus. Minimized scar tissue, the lack of incisions and reduced post-operative discomfort all are benefits of this process.
To perform this procedure, the best gynecologist in Queens:
- Inserts a small, lighted instrument called a resectoscope through your vagina and cervix and into your uterus. It cuts tissue using electricity or a laser.
- Introduces a clear liquid, usually a sterile salt solution, into the uterus to expand the cavity so he can examine the walls.
- Shaves away pieces of the fibroids using the resectoscope and a tiny camera until the fibroids are gone from the uterine walls.
- Cauterizes the blood vessels feeding and surrounding the fibroid to minimize blood loss.
- Removes tissue by washing out your uterus at the end of the procedure.
Sometimes, your gynecologist also uses a laparoscope in a small abdominal incision to view your pelvic organs and the outside of your uterus, especially if yours is a more complicated case. Hysteroscopic myomectomy complications are rare.
Hysteroscopic Myomectomy Complications and Outcomes
The greatest benefit of this procedure is the relative lack of hysteroscopic myomectomy complications. Large fibroids can be shaved down and eliminated safely. The use of the resectoscope reduces the chance of bleeding after the procedure, which is significant in many women suffering from fibroids because of the heavy menstrual bleeding and resulting anemia. No incisions ensure reduced scarring and post-operative discomfort. This minimally invasive procedure provides symptom relief with fewer side effects.
The true benefits come from the relief of your symptoms. Reduction in excessive menstrual bleeding, pelvic pressure and pain all improve your quality of life. Being able to keep your uterus and possibly solve fertility issues is an additional benefit for many women. Since fibroids within the uterine cavity can change the shape of the cavity, removal of the fibroids can raise the potential for post-hysteroscopic myomectomy pregnancy by up to 70 percent in some cases.
Hysteroscopic Myomectomy Aftercare
Immediately after surgery, you can expect to go home. In more extensive cases, however, an overnight stay in the hospital is sometimes required. You’ll be given a prescription for pain medicine and instructions for dietary and activity restrictions you’ll need to follow. You may see some small amount of vaginal bleeding or staining for a few days and maybe up to six weeks after the procedure. You can resume your normal work and exercise schedule within a couple of days.
While your potential for fertility is increased by a vaginal myomectomy, it’s recommended that you wait three months after the procedure before attempting a post-hysteroscopic myomectomy pregnancy. This gives your body, especially your uterus, time to heal fully, providing the best opportunity for a viable pregnancy outcome.
Vaginal Myomectomy Benefits Abound
If you’re past childbearing age or don’t want to have any or more children, a myomectomy can be accompanied by an endometrial ablation to stop or decrease menstrual bleeding. This involves using heat, cold or mechanical means to destroy the endometrium, the uterine lining. The lining’s destruction ensures there is no place for fetal tissue to attach and become viable.
With a low complication rate, no uterus or abdominal incisions, and minimal blood loss and scar tissue complications, this process has many benefits over more invasive techniques. Your Forest Hills, Queens gynecologist can determine if this procedure is right for you.
As a best in class gynecologist in Queens, Dr. James Gohar provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in Queens NY.
For more information about the Hysteroscopic Myomectomy, Polypectomy procedure, treatment options or to schedule a consultation with the (gynecologist) OBGYN doctor, the best rated Hysteroscopic Myomectomy Procedure, Polypectomy specialist, Dr. James Gohar, please contact our Queens office.
Gynecologist Dr. James Gohar (OBGYN Doctor)
Forest Hills Medical Services
108-16 63rd Rd
Forest Hills, NY 11375
☎ (718) 897-5331