How Much Does Myomectomy Cost?

  • Cost of Myomectomy in India is around USD 2,300 – USD 3,000.
  • Cost of Myomectomy in Turkey starts from USD 2000 for single Myomectomy and USD 2500 for multiple Myomectomy. Single laparoscopic Myomectomy starts from USD 5000 and multiple laparoscopic Myomectomy starts from USD 6000.
  • In UAE, laparoscopic Myomectomy starts from USD 6500 and Myomectomy starts from USD 5250.
Uterine-Artery-Embolization
  • A myomectomy is a surgical treatment that removes uterine fibroids (also known as leiomyomas) from the uterus. Fibroids are connective tissue and muscle cell-based growths. They could show up inside the uterus or outside of it. They are often benign (not malignant).
  • One can have one, several, or different-sized fibroids. The doctor performs a myomectomy to remove the fibroids while keeping the uterine tissues intact to allow you to conceive in the future.
  • A hysterectomy, which removes the uterus, cervix, and fibroids, can be substituted with a myomectomy.
  • When uterine fibroids require removal, myomectomy surgery is required. The best option for removing fibroids in women who want to keep their uterus or want to keep the chance of getting pregnant in the future is a myomectomy.

Cost of Myomectomy

  • Cost of Myomectomy in India is around USD 2,300 – USD 3,000.
  • Cost of Myomectomy in Turkey starts from USD 2000 for single Myomectomy and USD 2500 for multiple Myomectomy. Single laparoscopic Myomectomy starts from USD 5000 and multiple laparoscopic Myomectomy starts from USD 6000.
  • In UAE, laparoscopic Myomectomy starts from USD 6500 and Myomectomy starts from USD 5250.

Myomectomy is performed differently in each case, and the cost varies correspondingly. Nevertheless, the operation performed in nations like India, Turkey and UAE is significantly less expensive than in other nations.

Depending on a number of variables, including well-being, the surgeon’s experience, and the facility one selects, the cost may be lower or more.

The following are a few of the variables that influence the price of myomectomy surgery:

  • The seriousness of the condition.
  • Size, location, and quantity of the fibroids.
  • The kind of myomectomy procedure that is carried out.
  • Choosing a hospital and a doctor.

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What are fibroids?

Female reproductive system tumours are called fibroid or fibroma.

Except in extremely rare circumstances, these tumours are benign or non-cancerous. The tumour’s size might range from the size of a pea to that of a softball.

Uterine fibroids can be of three primary types:

  • Intramural fibroids: The most prevalent sort of fibroids are those that grow within the uterine wall’s muscle.
  • Subserosal fibroids: They are stalk-like growths that protrude from the uterus.
  • Submucosal fibroids: They are found in the endometrium, the lining of the uterus. They protrude into the uterus.
  • Subserosal or submucosal fibroids may occasionally be pedunculated, or hanging from a stalk inside or outside the uterus.
  • The sort of myomectomy operation would be recommended based on the location, size, and number of fibroids.

Symptoms

Despite the fact that fibroids are benign growths, they can nonetheless produce bothersome symptoms and may require removal. These include the following:

  • Pain in the lower abdomen.
  • Bleeding irregularly or in between cycles.
  • Heavy bleeding during the period.
  • Unable to completely empty your bladder.
  • If someone intends to get pregnant in the future and keep their fertility, myomectomy surgery is an excellent choice.
  • Constipation.
  • Backache or leg pains.

Types of Myomectomies

The process is straightforward and flexible in how it is carried out.

Abdominal (Open) Myomectomy or Laparotomy: During an abdominal myomectomy, the fibroids are removed through an open incision made in the abdomen by the surgeon. For aesthetic reasons, this incision is kept as low as feasible.

Large fibroids, often larger than 6 to 7 cm, are the only ones who should have this procedure. By using this method, fibroids as large as 15 to 16 cm may be removed.

This surgical technique necessitates a hospital stay of roughly five to seven days and a six to eight-week recuperation period.

Laparoscopic or robotic myomectomy: A laparoscopic or robotic myomectomy is a minimally invasive surgery in which the fibroids are removed using a camera and long, pencil-like instruments through small incisions

Laparoscopic myomectomy: It is comparable to a laparoscopic myomectomy; however, the surgeon uses a different console to direct the movement of the instruments. Laparoscopic methods can also be used to do the operation.

A laparoscope, a little tube with a camera attached to one end, is then inserted into the abdomen. With the use of equipment placed through smaller abdominal wall incisions, the surgeon executes the procedure.

Less bleeding and a faster recovery time are both benefits of this technique.

  • Robotic: Small incisions identical to those used in a laparoscopic myomectomy are used to enter the instruments, which are subsequently moved by the surgeon using a separate console. Laparoscopic and robotic myomectomies with a single port (one incision) are now being carried out by some doctors.

Hysteroscopy or Hysteroscopic Myomectomy: It entails removing fibroids via the vagina. It is done for one or tiny numerous sub-mucosal fibroids that are protruding into the uterine canal. The fibroids typically measure 2 to 3 cm in size.

The hysteroscope lens allows the surgeon to see if there are fibroids or polyps. These are subsequently eliminated using a heated wire loop, and bleeding is then controlled. The little fragments are removed and sent for biopsy.

The procedure can be completed while the patient is under regional anaesthesia, and patients are typically released that evening or the following day. The healing process takes two to three days.

The following are some of the considerations that go into choosing the type of myomectomy to have:

  • Fibre size.
  • Amount of fibroids.
  • Where the fibroids are placed in your uterus.

Myomectomy Vs Hysterectomy

The primary distinction between the two treatments is that just the fibroids are removed during a myomectomy, leaving your uterus intact. One can become pregnant later on and the menstrual cycle will return. The uterus and fibroids are removed during a hysterectomy. Hysterectomy patients can no longer become pregnant and won’t have menstruation.

Procedure

A week prior to surgery

  • Routine preoperative diagnostics would be performed before the surgery:
  • The gynaecologist conducts a thorough history and physical examination.
  • Pregnancy test to dispense with coincidental pregnancy.
  • ECG and blood pressure are used to evaluate heart health.
  • Blood tests to assess blood groups, liver and kidney function, haemoglobin levels, and blood pressure.
  • Testing urine.

The following imaging tests are also used to determine the size and location of uterine fibroids:

  • Ultrasound: To observe and quantify fibroids, a procedure called an ultrasound uses sound waves to create an image of the uterus.
  • Magnetic Resonance Imaging (MRI): This test gives details on the size and location of fibroids. It helps identify the type of fibroids and thus, the treatment option.

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

During the Surgery

  • The patient will be moved to the operating table once inside the operating room, where the anaesthesiologist will either give general anaesthesia or spinal anaesthesia.
  • The patient will be unconscious and will not be aware of the procedure while under general anaesthesia. To ensure that the patient doesn’t feel any discomfort, spinal anaesthesia only numbs the bottom half of the body. The patient is still awake and aware of the surgery, though.
  • The patient will be connected up to a monitor that tracks vital signs including heart rate, blood pressure, and respiration rate continually.
  • The procedure, which could be an open myomectomy, hysteroscopic myomectomy, or a laparoscopic procedure as previously mentioned, will be performed by the surgeon.
  • Following the removal of the fibroid or fibroid(s), the wound is stitched up and bandaged.

Myomectomy may cause discomfort. There are, however, methods for managing pain both during and following surgery.

After the Procedure

  • The patient is brought to the postoperative recovery room after the myomectomy surgery and gradually recovers from the anaesthetic effect, waking up feeling a little sleepy.
  • The nurse keeps an eye on the patient’s vital signs in the recovery room for a couple of hours.
  • The patient is escorted back to their room once stable.
  • To keep the patient hydrated, intravenous fluids will be given, and medicines will be given to ease any discomfort.
  • Until the patient is mobile, generally the next day, a urinary catheter may be in place to allow for urine transit.
  • Following surgery, thromboprophylaxis will be administered for a few days to prevent deep vein thrombosis or pulmonary embolism.
  • The day following surgery, a liquid diet may be permitted, and if tolerated, soft solids may be provided before a gradual transition to a normal diet.
  • Several days after the procedure, there can be some vaginal discharge.
  • The patient may be released after their overall condition has returned to normal.

Recovery

  • The pace of recovery will depend on the surgery one has. Additionally, it depends on if any issues develop. For the first few days, you can anticipate some pain. One will experience pain medicine from your doctor. They’ll also advise to walk around or move the legs following surgery to avoid blood clots.
  • Up to six weeks may pass after an open myomectomy before patients are fully recovered and able to resume their regular activities.
  • One might leave the hospital on the same day as your laparoscopic myomectomy. Recovery takes two to four weeks when done at home.
  • Full recovery could take just a few days if the surgery is performed hysteroscopic ally (via the vagina without scars).

The patient must take the necessary care at home to recover from the surgery after being released from the hospital. The surgeon’s broad recommendations must be religiously followed.

In a week, a follow-up appointment is required to remove the sutures and assess the patient’s recovery.

Risks

Comparatively speaking to other surgical procedures, a myomectomy has a low risk of complications. The following could be among the dangers and issues:

  • Excessive bleeding that may occasionally require uterine removal
  • Formation of scar tissue and adhesions
  • Inflammatory condition of the pelvis that affects the ovaries and fallopian tubes
  • Infection of a wound
  • Uterine scar rupture during a subsequent pregnancy or delivery.

Myomectomy Prognosis

  • Myomectomy results are anticipated to improve symptoms and fertility problems.
  • After surgery, the majority of women have relief from pelvic pain and excessive menstrual bleeding.
  • A successful pregnancy following a myomectomy has been recorded by about 50% of women, especially those who underwent a laparoscopic treatment.

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