Myomectomy
Surgical removal of uterine fibroids while preserving the uterus — the preferred approach for women with symptomatic fibroids who wish to retain their fertility or avoid hysterectomy.
What is Myomectomy?
Myomectomy is the surgical removal of uterine fibroids (leiomyomas) while leaving the uterus intact. It can be performed laparoscopically (keyhole), robotically, or via open surgery depending on the size, number, and location of fibroids. Laparoscopic myomectomy is preferred for suitable candidates, offering smaller incisions, less blood loss, and faster recovery. Dr. Ashwani Narla performs myomectomy at Lux Hospitals, Hyderabad, tailoring the approach to each patient's fibroid burden, symptoms, and fertility aspirations.
Suitable for women with symptomatic uterine fibroids — causing heavy bleeding, pain, pressure, or fertility difficulties — who wish to preserve their uterus, whether or not future pregnancy is desired.
How the Procedure Works
Anaesthesia & Access
General anaesthesia is administered. Laparoscopic ports or an abdominal incision is made based on fibroid size, number, and location.
Fibroid Identification
All fibroids are mapped and identified. The uterus is systematically examined to ensure no fibroids are missed before excision begins.
Fibroid Excision
Each fibroid is enucleated from its pseudocapsule using sharp and blunt dissection, minimising damage to surrounding myometrium.
Uterine Reconstruction
The uterine defects are repaired in layers with absorbable sutures, restoring the normal uterine architecture and ensuring a strong, well-healed scar.
Specimen Removal & Closure
Fibroids are placed in an endobag and removed via a port site or small incision. The abdomen is closed in layers; recovery commences immediately.
Outcomes
Who Needs This Treatment?
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Removes fibroids while preserving the uterus and future fertility potential
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Significantly reduces heavy menstrual bleeding and pelvic pain
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Laparoscopic approach offers faster recovery than open myomectomy
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Improves uterine cavity for embryo implantation in women undergoing IVF
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Reduces fibroid-related pressure symptoms on bladder and bowel
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Histopathology confirms the benign nature of all removed tissue
Myomectomy demands technical precision — each fibroid must be completely enucleated and the uterus meticulously repaired so it heals strongly, especially in women planning a future pregnancy.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Myomectomy Cost in Hyderabad
The cost of myomectomy in Hyderabad depends on the size, number, location, and depth of uterine fibroids, as well as the surgical approach, pre-operative investigations, anesthesia, and hospital care. Myomectomy is a uterine-sparing surgery used to remove fibroids while preserving the uterus. In the provided estimate, laparoscopic myomectomy is considered for suitable patients, including those who wish to preserve their fertility. The estimated cost ranges from ₹1,20,000 to ₹2,50,000, with an average cost of approximately ₹1,85,000.
| Procedure | Approximate Cost Range |
|---|---|
| Myomectomy (Laparoscopic) Fertility preservation | ₹1,20,000 ₹2,50,000 |
The actual cost of myomectomy may vary depending on the characteristics of the fibroids and the complexity of removing them while preserving the uterus. Larger, multiple, or deeply placed fibroids may require longer surgery and more extensive surgical work. Previous abdominal or pelvic surgery, adhesions, and other associated gynecological conditions can also influence the treatment plan.
The total expense may include pre-operative consultation, ultrasound or other imaging, blood tests, anesthesia, operating-room charges, hospital or day-care admission, medicines, histopathological examination of removed fibroid tissue, and follow-up care. The most suitable surgical approach is selected based on the patient's individual condition and reproductive goals.
Factors Affecting Myomectomy Cost
The cost of myomectomy can vary from one patient to another because uterine fibroids differ in size, number, location, and depth within the uterus. These factors help determine the complexity of surgery and whether a laparoscopic approach is suitable.
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Fibroid size: Large fibroids may require more extensive surgical dissection and a longer operating time.
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Number of fibroids: Multiple fibroids can increase the duration and complexity of the procedure.
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Fibroid location: The position of each fibroid within the uterus can affect how easily it can be accessed and removed.
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Depth of fibroid: Fibroids located deep within the uterine muscle may require more careful reconstruction of the uterine wall.
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Fertility preservation: Myomectomy preserves the uterus, which may be important for patients who wish to consider pregnancy in the future.
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Pre-operative evaluation: Ultrasound, MRI in selected cases, blood tests, and other investigations may be required to plan the surgery.
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Surgical approach: Laparoscopic myomectomy may be suitable for selected patients, while other cases may require a different surgical approach based on fibroid characteristics.
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Previous surgery or adhesions: Prior abdominal or pelvic surgery may result in adhesions and can increase surgical complexity.
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Anesthesia and hospital care: Anesthesia, operating-room charges, admission, monitoring, and recovery services contribute to the overall cost.
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Histopathology: Removed fibroid tissue may undergo laboratory examination, with pathology charges forming part of the treatment expense.
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Additional procedures: Treatment of associated pelvic or gynecological conditions during the same surgery may increase the total cost.
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Post-operative care: Medicines, follow-up consultations, monitoring, and recovery-related treatment can also affect the final expense.
Insurance Coverage for Myomectomy
Myomectomy may be covered by health insurance when it is considered medically necessary for symptomatic or clinically significant uterine fibroids. Coverage depends on the diagnosis, reason for surgery, policy terms, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm their policy benefits, applicable limits, and cashless treatment eligibility with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with uterine fibroids and related gynecological concerns. During consultation, she reviews symptoms, menstrual history, reproductive goals, previous medical or surgical treatment, examination findings, and relevant ultrasound or other imaging reports. She assesses the size, number, location, and characteristics of the fibroids and determines whether myomectomy is an appropriate treatment option. When fertility preservation is important, the treatment plan can take the patient's reproductive goals into consideration. The consultation may also include discussion of the surgical approach, preparation before surgery, expected recovery, possible additional procedures, pathology evaluation, and estimated treatment cost.
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