What to Expect Before, During, and After Your Myomectomy

Uterine fibroids are incredibly common, affecting up to 70-80% of women by the time they reach age 50. For many women, these noncancerous growths cause heavy periods, pelvic pain, and pressure. When conservative treatments aren't enough, a myomectomy is often the gold standard for women who wish to remove fibroids while keeping their uterus intact.

Michael Coppa, MD, with offices in Cranston and Smithfield, Rhode Island, prioritizes patient education so you can feel confident and prepared for your procedure. Here is what you can expect throughout the surgical process

Preparing for your procedure

Preparation begins with a comprehensive consultation at one of our Rhode Island offices. Dr. Coppa will review your imaging, typically an ultrasound or MRI to determine the size, number, and location of your fibroids. This information dictates the surgical approach: hysteroscopic, laparoscopic (minimally invasive), or abdominal (open).

In the weeks leading up to surgery, Dr. Coppa may recommend iron supplements if heavy bleeding has caused anemia. You may also receive GnRH agonists, medications that can help shrink fibroids and reduce blood loss during surgery.

On the night before your procedure, you will need to fast (no food or drink) after midnight. If you take regular medications, Dr. Coppa will provide specific instructions on which to continue and which to pause.

What happens during surgery

A myomectomy is performed under anesthesia, ensuring you are comfortable and pain-free. The specifics depend on the technique used:

• Laparoscopic or Robotic-Assisted: Dr. Coppa is highly skilled in using the da Vinci® surgical system. This involves small, "keyhole" incisions through which specialized tools and a camera are inserted.
• Hysteroscopic: For fibroids bulging into the uterine cavity, no skin incisions are made. A scope is passed through the cervix to remove the growths.
• Abdominal: For very large or numerous fibroids, a traditional "bikini-line" incision may be necessary to access the uterus safely.

Surgical times can range from 1 to 4 hours. Dr. Coppa’s priority is meticulously repairing the uterine wall after the fibroids are removed to preserve its strength, which is vital for patients considering future pregnancies.

Navigating your recovery

Recovery timelines vary significantly based on the surgical approach. Patients undergoing hysteroscopic myomectomy often return to normal activities within a few days. For laparoscopic or robotic procedures, recovery typically takes 2 to 4 weeks, while an abdominal myomectomy may require 4 to 6 weeks.

• Immediate Care: You may experience light vaginal spotting and mild cramping. Walking shortly after surgery is encouraged to prevent blood clots.
• Activity Restrictions: Most patients must avoid heavy lifting (over 10 pounds) and strenuous exercise for several weeks.
• Long-Term Healing: If you plan to become pregnant, Dr. Coppa recommends waiting 3 to 6 months to allow the uterine muscles to heal fully.

Schedule your consultation today

If fibroids are impacting your daily life, you don't have to manage the symptoms alone. Call Dr. Coppa today at 401-946-4022 or request an appointment via the online booking tool.