Vaginal myomectomy
Sometimes
quite sizeable fibroids can be removed via the vagina without the need for any abdominal
incisions (laparoscopic or laparotomy). The procedure can also be suitable
when a fibroid is too deep or too large for hysteroscopic removal. One of several
techniques can be used depending on the size and position of the dominant fibroid,
but essentially the fibroids are removed either through the cervix or the
top of the vagina.
The ideal case for vaginal myomectomy is someone who has small to medium sized fibroids which are mostly affecting the back wall of the uterus. Examination and pelvic ultrasound can be very helpful in identifying suitable patients for this technique.
You should expect to stay in hospital for 2-3 days after surgery, but thereafter, your recovery should be relatively quick.