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Updated: Mar 3, 2026

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Myomectomy: technique and current indications.

Hajanirina Rakotomahenina1, José Rajaonarison2, Lufee Wong3

  • 1Department of Obstetrics and Gynecology, University Hospital of Fianarantsoa, Fianarantsoa, Madagascar.

Minerva Ginecologica
|April 28, 2017
PubMed
Summary
This summary is machine-generated.

Myomectomy effectively treats symptomatic uterine fibroids and selected infertility cases. Only removing submucosal fibroids consistently improves fertility and assisted reproduction outcomes.

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Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Surgical Oncology

Background:

  • Uterine fibroids are common benign tumors in women of reproductive age.
  • They can cause heavy bleeding, pain, and impact fertility, though many women are asymptomatic.
  • Fibroids are a leading cause for hysterectomy, but myomectomy preserves fertility.

Purpose of the Study:

  • To review surgical approaches for myomectomy.
  • To discuss evidence-based indications for myomectomy in women with fibroids.
  • To analyze the impact of myomectomy on fertility and reproductive outcomes.

Main Methods:

  • A critical literature review was performed.
  • The review focused on surgical approaches and indications for myomectomy.
  • Emphasis was placed on the impact on fertility and reproductive outcomes.

Main Results:

  • Myomectomy benefits symptomatic fibroids and selected infertility.
  • Hysteroscopic resection is used for submucosal fibroids; laparotomy or laparoscopy for intramural/subserosal fibroids.
  • Prophylactic myomectomy is not advised for obstetrical complications or leiomyosarcoma prevention.

Conclusions:

  • Only submucosal fibroid removal consistently improves spontaneous fertility and assisted reproduction outcomes.
  • Myomectomy is indicated for symptomatic fibroids and selected infertility cases.
  • The benefits of myomectomy for reproductive function remain debated, with specific fibroid types showing clear advantages.