Myomectomy in Acıbadem – Causes, Treatment, Recovery and Fertility
Myomectomy is a surgical procedure to remove uterine fibroids (also known as myomas or leiomyomas) while preserving the uterus. For women experiencing heavy bleeding, pelvic pain, pressure symptoms, or infertility due to fibroids, myomectomy in Acıbadem provides an effective, uterus-preserving, fertility-friendly solution. Acıbadem, situated on Istanbul’s Anatolian side, hosts several leading hospitals and private clinics specialising in advanced gynaecological surgery with laparoscopic and robotic techniques.
Information and consultation: +90 541 998 34 34 – Acıbadem, Istanbul, Turkey
In Turkey, when fibroid symptoms cannot be controlled by medical or hormonal treatment, surgical removal becomes necessary. Acıbadem’s modern healthcare infrastructure, experienced surgeons, and patient-centred care make it a preferred location for women seeking high-quality fibroid surgery.
What Are Uterine Fibroids?
Uterine fibroids are benign (non-cancerous) growths arising from the smooth muscle of the uterus. They can vary in size and number and may be asymptomatic or cause significant problems depending on their location.
Types of Fibroids
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Intramural fibroids: grow within the uterine wall
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Subserosal fibroids: project outward from the uterus
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Submucosal fibroids: bulge into the uterine cavity
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Pedunculated fibroids: attached by a stalk either inside or on the uterus
Common Symptoms
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Heavy or prolonged menstrual bleeding
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Pelvic pain, pressure, or bloating
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Frequent urination or constipation
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Pain during intercourse
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Infertility or recurrent miscarriage
When fibroids cause uterine enlargement, distortion, or chronic anaemia, surgical removal often becomes the most effective remedy.
When Is Myomectomy Recommended?
Myomectomy in Acıbadem is generally considered when:
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Symptoms (bleeding, pain, pressure) are moderate to severe
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Medical and hormonal therapies have not been sufficient
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The patient wishes to preserve fertility
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The fibroids are surgically accessible in terms of size, number, and location
If fibroids are extremely large, multiple, or in difficult positions, your surgeon may recommend alternative treatments such as uterine artery embolisation or (rarely) hysterectomy.
Types of Myomectomy in Acıbadem
1. Abdominal (Open) Myomectomy
Performed via a lower abdominal incision, allowing direct access to remove large or multiple fibroids. Recovery is typically longer (4–6 weeks).
2. Laparoscopic (Keyhole) Myomectomy
The preferred method in many Acıbadem clinics. Small incisions and a camera allow removal of fibroids with minimal trauma, less pain, and quicker recovery.
3. Hysteroscopic Myomectomy
Used for fibroids protruding into the uterine cavity. A hysteroscope is passed through the vagina and cervix, avoiding any abdominal incision. Patients often return home the same day.
4. Robotic Myomectomy
Available in some Acıbadem hospitals, robotic assistance offers greater precision and dexterity. It may reduce blood loss and speed up recovery in complex cases.
Advantages and Limitations
Benefits of Myomectomy in Acıbadem
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Preserves uterine function and fertility
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Alleviates heavy bleeding, pain, and pressure
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Minimal scarring and quicker recovery with laparoscopic/robotic techniques
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Access to high-level medical facilities and experienced surgeons
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Reasonable cost relative to some Western countries
Risks and Considerations
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Recurrence of fibroids (15–30 %)
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Postoperative bleeding or infection
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Adhesion formation inside the uterus
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Occasionally conversion to hysterectomy if complications arise
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In future pregnancy, risk of uterine rupture if healing is incomplete
Your surgeon at Acıbadem will discuss all these aspects and choose the safest approach tailored to your case.
Preparing for Myomectomy
Before surgery, you will undergo:
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Detailed imaging (ultrasound, MRI)
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Blood tests (haemoglobin, clotting, general health)
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Assessment for anaemia and possibly iron supplementation
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Medical evaluation and anaesthesia clearance
You may be given hormone therapy temporarily to shrink fibroids before surgery. You will also be advised to stop smoking, follow a healthy diet, and fast prior to surgery.
The Surgical Procedure
Under general anaesthesia, depending on fibroid characteristics, the surgeon removes fibroids either through open, laparoscopic, or hysteroscopic access. Blood flow to the fibroids is managed, fibroids are excised, and the uterine walls are repaired meticulously.
In Acıbadem hospitals, surgical time is often between 1 and 2 hours, though complex cases may take longer. Minimally invasive procedures may allow discharge in 24–48 hours, while open surgery may necessitate a hospital stay of a few days.
Recovery and Aftercare
Recovery time varies by method:
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Hysteroscopic: same-day discharge
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Laparoscopic: 1–2 days in hospital
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Open: 3–5 days in hospital
After discharge, you should:
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Avoid heavy lifting, strain, or intense physical activity
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Walk gently and progressively
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Observe wound care and hygiene
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Adhere to follow-up appointments for stitch removal and monitoring
Full recovery may take 4–8 weeks, though many patients resume light activity earlier. Sexual intercourse is generally postponed until cleared by your surgeon (often 4–6 weeks).
Pregnancy After Myomectomy
One major advantage of myomectomy is fertility preservation. Many women conceive naturally afterward. Surgeons typically recommend waiting 3 to 6 months before attempting pregnancy to allow uterine healing.
In certain cases, obstetricians may advise delivery by caesarean section to reduce potential risk of uterine rupture during labour.
Long-Term Outlook and Recurrence
While myomectomy provides symptom relief, fibroids can recur in a minority of women. Regular gynaecological follow-up is essential.
Lifestyle measures (maintaining a healthy weight, balanced hormones, no smoking) may help reduce recurrence risk.
Alternative Treatments
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Hysterectomy — definitive removal of the uterus; eliminates fibroids permanently but ends fertility
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Uterine Artery Embolisation (UAE) — blocks fibroid blood supply to shrink them; not ideal for women desiring pregnancy
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Medical Management — hormonal therapy, GnRH analogues for symptom control (often temporary)
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Endometrial Ablation — reduces uterine lining and bleeding but does not remove fibroids
Frequently Asked Questions
Is myomectomy painful?
Some discomfort is normal postoperatively, but it is well managed with pain medication. Minimally invasive methods cause less pain than open surgery.
Will I still have periods?
Yes. Because the uterus is preserved, menstruation continues, usually lighter and more regular than before.
How long is recovery?
Typically between 2 and 8 weeks, depending on surgical technique.
Can I get pregnant after myomectomy?
Yes, and many women achieve successful pregnancies after the procedure.
What is the cost of myomectomy in Acıbadem?
Costs vary depending on hospital, surgeon, and the complexity of fibroids, but in Istanbul private hospitals, the procedure is generally more affordable than comparable Western facilities.
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Summary
Myomectomy in Acıbadem offers a modern, safe, and fertility-preserving option for women suffering from uterine fibroids. Using laparoscopic, hysteroscopic, or robotic techniques, Acıbadem’s expert gynaecologists perform precision surgery with minimal scarring and swift recovery.
If you’re considering fibroid removal surgery in Acıbadem, consult a qualified gynaecologist to explore your options and plan your treatment. Information and consultation: +90 541 998 34 34 – Acıbadem, Istanbul, Turkey
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