When myomectomy is appropriate
Symptomatic fibroids (heavy menstrual bleeding, pelvic pain, pressure symptoms) where uterine preservation is desired – particularly relevant for women planning future fertility.
Laparoscopic approach
Uterine wall incision, careful myoma enucleation, and meticulous closure of the uterine defect in multiple layers. Energy source selection minimises thermal damage. Specimen retrieval through extended port site or specimen bag.
Recovery and fertility
Heavy menstrual bleeding improves in over 90 percent. Pregnancy rates are favourable in women with prior infertility. Recurrence of new fibroids occurs in 15-30 percent over 5-10 years.
Laparoscopic myomectomy
| Aspect | Detail |
|---|---|
| What it does | Removes fibroids, keeps the uterus |
| Best for | Fertility wish, symptomatic fibroids |
| Recovery | 2–4 weeks |
Frequently asked
Dr Patel performs advanced minimal-access (laparoscopic and hysteroscopic) surgery at Balaji Horizon with a precision, organ- and fertility-sparing philosophy — operating when it is clearly indicated, and offering conservative options when it is not.
Minimal-access, organ-sparing surgery and evidence-based gynaecology — with a clear, honest plan built around your priorities.
Risks, alternatives & what we discuss before myomectomy
Myomectomy removes fibroids while preserving the uterus, so it is the procedure of choice when fertility matters. It is still major surgery, and the right decision depends on fibroid size, number and position, your symptoms, and your reproductive plans β not on the fibroids alone.
Possible risks
The main risks are bleeding (occasionally needing transfusion), the small chance of conversion to open surgery, and β rarely β the need for hysterectomy if bleeding cannot be controlled. Adhesions can form afterwards, and fibroids can recur over time, particularly when several are present. These risks are uncommon in experienced hands but are discussed honestly before any decision.
Future pregnancy & delivery
When the uterine cavity is opened or deep fibroids are removed, we counsel a planned interval before conception and often advise delivery by caesarean section because of a small risk of uterine rupture in labour. This planning is part of the consultation, not an afterthought.
Alternatives we consider first
Not every fibroid needs surgery. Depending on your situation we discuss medical therapy for symptom control, watchful waiting for small or asymptomatic fibroids, and β where fertility is not the priority β uterine artery embolisation. Myomectomy is recommended when it offers the clearest benefit for symptoms or fertility, not by default.
Unsure whether your fibroids need an operation at all? Start with when fibroids actually need treatment.
Dr. Priyadatt Patel
Senior Gynecologist Β· Advanced Laparoscopic Surgeon Β· IVF and Endometriosis Programme Lead
MS OBGyn Β· Pregnancy Care Β· Advanced Gynaecological Ultrasound Β· Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Science City Road, Ahmedabad 380060
MonβSat 11:00β20:00 Β· +91 97234 31544
Naranpura, Ahmedabad
MonβSat 08:30β10:30 Β· +91 70460 02566
