MYOMECTOMY / UTERINE FIBROID REMOVAL SURGERY IN İZMİR

Myomectomy in İzmir – Causes, Treatment, Recovery and Fertility

Myomectomy is a surgical operation that removes uterine fibroids (also known as myomas or leiomyomas) while preserving the uterus. For women suffering from heavy menstrual bleeding, pelvic pressure, pain, or infertility caused by fibroids, myomectomy in İzmir offers a safe, effective, and fertility-preserving solution. İzmir, one of Turkey’s leading medical and tourism destinations, is home to modern hospitals and experienced gynaecologists who perform laparoscopic and robotic myomectomy procedures with international standards of safety.

Information and consultation: +90 541 998 34 34 – İzmir, Turkey

In Turkey, myomectomy is recommended when hormonal or medical treatments fail to control fibroid symptoms. The goal is to remove fibroids while maintaining the uterus, allowing women to preserve fertility and avoid hysterectomy. İzmir’s advanced healthcare facilities offer cutting-edge surgical techniques, English-speaking doctors, and affordable packages for both local and international patients.

What Are Uterine Fibroids?

Uterine fibroids are benign (non-cancerous) growths that develop inside or on the uterus. They can vary in size—from small nodules to large masses—and can cause symptoms depending on their location and number.

Types of Fibroids

Intramural fibroids: Grow within the uterine muscle wall.
Subserosal fibroids: Extend outward toward the abdominal cavity.
Submucosal fibroids: Grow into the uterine cavity and often cause heavy bleeding.
Pedunculated fibroids: Attached to the uterus by a stalk.

Common Symptoms

Heavy or prolonged menstrual bleeding
Pelvic pain or pressure
Frequent urination or constipation
Pain during sexual intercourse
Difficulty conceiving or recurrent miscarriage

Fibroids can cause anaemia, discomfort, and infertility if untreated. Myomectomy in İzmir is designed to restore uterine health while preserving the ability to conceive.

When Is Myomectomy Recommended?

Myomectomy is advised when:

Menstrual bleeding is heavy and persistent
Fibroids cause pelvic pain or pressure
Fertility or pregnancy is affected
Hormonal treatments or medication are ineffective
The patient wishes to preserve her uterus

İzmir’s hospitals offer comprehensive diagnostics including ultrasound, MRI, and laboratory tests to determine fibroid size, number, and exact location before planning surgery.

Types of Myomectomy in İzmir

1. Abdominal (Open) Myomectomy

Performed through a small incision in the lower abdomen, this method is ideal for very large or multiple fibroids. It provides full access to the uterus but requires a 4–6 week recovery period.

2. Laparoscopic (Keyhole) Myomectomy

A minimally invasive surgery that uses small incisions and a camera to remove fibroids with precision. It offers less pain, faster recovery, and minimal scarring. Most private hospitals in İzmir specialise in this method.

3. Hysteroscopic Myomectomy

Used for fibroids located inside the uterine cavity. A hysteroscope is inserted through the vagina and cervix, avoiding any external incision. This procedure is outpatient, and patients recover within a few days.

4. Robotic Myomectomy

Advanced robotic systems available in İzmir’s top hospitals allow surgeons to perform high-precision operations. The robotic arms ensure stability, minimal bleeding, and faster postoperative recovery.

Advantages and Limitations

Benefits of Myomectomy in İzmir

Preserves fertility and menstrual function
Relieves pain, bleeding, and pelvic pressure
Minimally invasive options ensure fast recovery
Affordable and transparent medical costs
Access to internationally accredited hospitals and specialists

Possible Risks

Recurrence of fibroids (15–30%)
Postoperative bleeding or infection
Scar tissue (adhesion) formation
Rare need for hysterectomy in complex cases
Uterine rupture risk if pregnancy occurs too soon after surgery

Your İzmir gynaecologist will discuss these factors with you and tailor the safest and most effective surgical plan.

Preparing for Surgery

Before the procedure, patients undergo:

Ultrasound or MRI imaging
Blood tests and pre-anaesthetic assessment
Hormonal or iron therapy if anaemia or large fibroids are present
Lifestyle preparation including healthy diet and smoking cessation

Hospitals in İzmir provide preoperative counselling, interpreter support, and comfortable recovery units for both local and foreign patients.

The Surgical Procedure

Myomectomy is performed under general anaesthesia. Depending on the chosen technique, fibroids are removed through open, laparoscopic, or hysteroscopic access. The uterus is then reconstructed to maintain its natural shape and fertility potential.

Surgery typically lasts 1–2 hours. Laparoscopic and robotic operations allow for discharge within 24–48 hours, while open myomectomy may require a short hospital stay of 3–4 days.

Recovery and Aftercare

Recovery time depends on the surgical method:

Hysteroscopic: same-day discharge
Laparoscopic: recovery in 1–2 weeks
Open: full recovery in 4–6 weeks

Patients should rest, avoid lifting heavy objects, and follow doctor’s recommendations. Walking lightly after surgery helps prevent blood clots.
Sexual activity and intense physical exercise should be avoided for 4–6 weeks.

Pain is well controlled with prescribed medication, and follow-up visits ensure proper healing.

Pregnancy After Myomectomy

Myomectomy in İzmir is an excellent fertility-preserving procedure. Many women conceive naturally after surgery.

Doctors recommend waiting 3–6 months before trying to get pregnant to allow the uterus to heal completely. Some patients may be advised to deliver by caesarean section for safety during labour.

Long-Term Outlook and Fibroid Recurrence

Most patients experience lasting relief after myomectomy. However, fibroids can recur in a small percentage of cases. Regular ultrasound monitoring and maintaining a healthy hormonal balance help reduce the recurrence risk.

A balanced diet, exercise, and stress management can further promote long-term uterine health.

Alternatives to Myomectomy

Hysterectomy: Permanent removal of the uterus; suitable for women not planning pregnancy.
Uterine Artery Embolisation (UAE): Minimally invasive, cuts off fibroid blood supply to shrink them.
Hormonal Therapy: Provides temporary symptom relief.
Endometrial Ablation: Controls bleeding but not suitable for large fibroids or women desiring fertility.

Frequently Asked Questions

Is myomectomy painful?
Discomfort is minimal and managed with medications. Laparoscopic and robotic options reduce pain significantly.

Will my periods continue?
Yes. Menstruation usually continues and becomes lighter and more regular after surgery.

Can I get pregnant after myomectomy?
Yes. Many women conceive naturally after surgery and deliver healthy babies.

How long does recovery take?
Recovery varies between 2 and 8 weeks depending on the surgical method.

What is the cost of myomectomy in İzmir?
The average cost ranges between €1,700 and €3,600, depending on the hospital, technique, and complexity.

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Summary

Myomectomy in İzmir offers modern, safe, and fertility-preserving treatment for uterine fibroids. With advanced laparoscopic and robotic technology, expert surgeons, and comfortable recovery facilities, İzmir has become one of Turkey’s most reliable medical destinations for women’s health.

If you are considering fibroid removal surgery in İzmir, contact a specialist for an evaluation and detailed treatment plan. Information and consultation: +90 541 998 34 34 – İzmir, Turkey