Myomectomy

  • See a consultant gynaecologist within 24 hours
  • State-of-the-art robotic-assisted surgery
  • Dedicated women's health facilities and aftercare

Enquiries and appointments

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MYOMECTOMY AT HCA UK

Why choose us?
At HCA UK, we understand the debilitating nature of fibroids and the impact they can have on your daily life. It’s why we provide fast access to our dedicated women's health experts, who’ll fully investigate your symptoms and use state-of-the-art imaging to confirm a diagnosis. 

A myomectomy will be recommended if you have severe symptoms of fibroids, such as heavy menstrual bleeding. As the procedure doesn’t affect the womb, it’s considered a good option for women who wish to have children in the future. 

Where possible, our surgeons will use the latest robotic-assisted techniques to remove your fibroids, allowing for greater precision, reduced pain, less scarring and a faster recovery time.
A myomectomy is surgery to remove fibroids, also known as uterine fibroids. These are non-cancerous growths of muscle and tissue that develop in and around your womb (uterus). Around two-thirds of women will develop a fibroid in their lifetime. 

The procedure is used to treat severe symptoms, such as heavy menstrual bleeding. Your consultant may recommend a myomectomy if non-surgical options, such as radiofrequency ablation or uterine artery embolisation to shrink rather than remove fibroids, and/or hormone medication haven’t improved your symptoms. 

Unlike a hysterectomy (womb removal surgery), a myomectomy leaves your womb intact, so it won’t affect your fertility and you’ll continue to have periods.

If you're struggling with fibroids symptoms or have questions about your fertility, our experts can explain your options so you can decide on the best treatment for you. 
Your consultant may recommend a myomectomy if you have severe symptoms of fibroids, such as:
  • Heavy menstrual bleeding and/or bleeding between periods
  • Iron-deficiency anaemia caused by excessive bleeding
  • Pelvic pain
You can have one or multiple fibroids of varying sizes and locations. Some don't require treatment. However, if needed, a uterine myomectomy will remove some or all of the fibroids to stop your symptoms while preserving healthy tissue in your womb. This can make it a good option if you need treatment and would like to have a child in the future. 

However, a myomectomy isn't suitable for all types of fibroids and having the procedure will depend on their size, number and position. Your specialist consultant will be able to advise on the best type of procedure for you.
Our consultants tailor procedures to each individual patient, so the type of surgery you’ll need will depend on the size, number and location of your fibroids. We offer the following types of fibroid myomectomies:
  • Laparoscopic or robotic-assisted myomectomy: This minimally invasive procedure involves multiple tiny incisions being made in the abdomen, through which a thin tube with a camera and a light on the end (called a laparoscope) and special tools are inserted. Our surgeons use the latest da Vinci robotic-assisted system for greater precision, helping you recover faster with less pain.
  • Hysteroscopic myomectomy: This is also a minimally invasive procedure but no incisions are used. Instead, a hysteroscope (a thin tube with a camera on the end) is inserted through your vagina.
  • Abdominal myomectomy: This open surgical procedure involves a large single incision being made in the abdomen. It is used for large, multiple or deeply embedded fibroids and has a longer recovery time compared to the minimally invasive procedures.
It’s important to remember that everyone’s recovery is different and it will depend on the type of procedure you have. 
  • For a laparoscopic myomectomy, you may go home on the same day and make a full recovery in two to four weeks.
  • With a hysteroscopic approach, you should go home on the same day and recover in just a few days.
  • For an abdominal myomectomy, you'll typically spend a few nights in hospital and make a full recovery in up to six weeks.
Your consultant will give you personalised advice on returning to activities at a safe and comfortable pace, such as work, exercise and sex. 

Enquiries and appointments

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Your myomectomy procedure at HCA UK

What to expect

We want you to feel as comfortable and reassured as possible during your time with us. One of the ways we can put you at ease is to let you know what to expect at each stage of your myomectomy procedure. If you have any questions that aren’t answered here, or in the FAQs section below, please don’t hesitate to get in touch. Our team will be happy to help in any way they can. 

01

Initial consultation

Whether you have self-referred or have a referral from a GP, the first step is always an initial consultation with one of our gynaecologists. 

They’ll take the time to talk to you and understand your concerns. They’ll also ask about your medical history and lifestyle to gain a better understanding of your symptoms. To confirm a diagnosis of fibroids, your consultant will refer you for scans.

02

Tests and scans

At HCA UK, you’ll have access to the UK’s most comprehensive private diagnostics network. 

Your consultant may arrange for you to have a transvaginal (pelvic) ultrasound or an MRI scan. The scans allow your consultant to see if there are any fibroids present, and, if there are, how many and their location. They may also want you to have a blood test to check for conditions associated with fibroids, such as anaemia. 

Your consultant will discuss your results with you and recommend the best course of treatment for your fibroids. They’ll explain the myomectomy procedure to you, ensuring you're aware of every detail so you know what to expect, and answer any questions you may have.

Our team will give you information on what you need to do to prepare for your surgery.

03

Surgery

On the day of your procedure, you'll be admitted to one of our leading private hospitals. Your surgical team will check on you and answer any final questions you have. Depending on the type of myomectomy being carried out, you’ll either be given a local or general anaesthetic.

Wherever possible, our experienced surgeons use the latest robotic technology for greater precision, reduced pain and a quicker recovery.

04

After surgery

After your myomectomy, you'll be monitored closely in a comfortable private room. Depending on your procedure, you may stay a few nights with us or go home the same day. Either way, you'll leave with clear advice to support your recovery. We may arrange follow-up appointments to monitor your progress and answer any new questions or concerns you might have.

Our locations

Where can I have my myomectomy procedure?

Accessing private health care

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Self-pay

You don’t need health insurance to be seen quickly. If you’re looking for a diagnosis or treatment and don’t want to wait, all of our private healthcare services – from private GP appointments through to surgery and aftercare – can be paid for as and when you need them.

And to give you peace of mind from the start, we’ll give you a clear and transparent quote outlining exactly what’s included in your self-pay package.

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Myomectomy surgery FAQs

Yes, you're still able to get pregnant after a myomectomy as your womb is left in place, unlike a hysterectomy where the full womb is removed. 

A myomectomy is commonly recommended as a treatment option for women with symptomatic fibroids who may wish to have children in future. We'll discuss your lifestyle goals when designing a personalised care plan to make sure we give you the most suitable treatment.
Your consultant will give you clear, helpful advice on how to prepare based on your procedure type, condition and lifestyle. This could include:
  • Stopping eating or drinking for a short period before surgery
  • Stopping certain medications
  • Arranging for someone to take you home after surgery and help you during your first few days at home
All surgeries come with risks, and your consultant will explain these to you when discussing your treatment options so you can decide whether you wish to go ahead with the procedure. 

Depending on the type of procedure you need, rare but possible complications can include:
  • Bleeding
  • Infection
  • Blood clots
  • Bad reaction to anaesthesia
  • Increased risk of needing a C-section delivery if you get pregnant in the future
Most women don't experience regrowth. However, there is a recognised chance that new fibroids may grow a few years after having a myomectomy. This is known as fibroid recurrence. This risk may increase if you're under 40 and have lots of fibroids before undergoing the procedure. 

Your consultant will explain your risk based on your age and condition. They'll also discuss your options for managing any recurrence, including follow-up appointments, lifestyle changes and hormonal treatments. At HCA UK, we're committed to supporting your long-term health.
No, your womb will function normally after a myomectomy, so you won't enter early menopause. If you had heavy, painful or irregular periods previously due to fibroids, you should have lighter and more regular periods once they're removed. 
Everyone responds differently to the procedure and recovery varies, depending on the type of myomectomy you had. If you had heavy, painful or irregular periods previously due to fibroids, you should now have lighter and more regular periods. 

Body changes can include bloating, along with pain, cramping and tenderness from the surgery. You’ll also have small scars from the incision sites if you had a minimally invasive procedure. If you had open surgery, there will be one large scar. Your consultant will talk you through these changes and explain the benefits and risks of the surgery, so you can decide if you wish to go ahead. 

Patient’s story

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Alene's story

In the run up to Fibroid Awareness Month Alene shares her experience of being diagnosed with uterine fibroids and how she approached finding specialist treatment for her condition.

I had a brilliant experience as a patient of Dr Byrne. He was excellent. My treatment involved multiple consultations and a surgical procedure with hospital stay. He was very professional throughout, listening patiently to my concerns and fully explaining my treatment options. I felt reassured that I was in good hands.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.