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Fibroids are common, non-cancerous uterine growths that can cause heavy menstrual bleeding, pelvic pain and an enlarged abdomen. Not all fibroids require hysterectomy to alleviate these symptoms. One alternative is to remove the fibroids while leaving the uterus in place, called myomectomy.

Based on the location and size of the fibroids, myomectomies can be performed using robotic surgery, laparoscopy or hysteroscopy. These minimally invasive approaches do not require the large incision used in traditional fibroid surgeries, and result in a more rapid recovery. Most patients return to their usual activities within two weeks.

Robotic and laparoscopic myomectomy is performed through tiny incisions (less than half an inch) in the abdomen. Sophisticated surgical instruments are inserted through the small incisions to remove the fibroids and repair the uterus.

Hysteroscopic myomectomy is performed by placing a small telescope (a hysteroscope) through the vagina and cervix into the uterus without any cutting or incisions. Fibroids that reside within the center of the uterus can be visualized and removed while preserving the form and function of the uterus, allowing for future pregnancy. Hysteroscopic myomectomy is performed as an outpatient procedure and most patients will return to their usual activities the next day.

Learn more about understanding uterine fibroid treatment options.