Advanced Open Myomectomy Surgery with Expert Physician Assoc. Prof. Cem Yalçinkaya

Doctors recommend removal of uterine fibroids only if they grow rapidly and cause symptoms such as:

• pain;
• cycle disorders;
• prolonged, painful and heavy menstruation;
• bleeding;
• violation of the work of internal organs;
• problems with conception.

Myoma nodes up to 5 cm in size, which do not grow and do not cause disturbances in the female body, do not require surgical intervention. According to medical protocols , such tumors need only be observed. To do this, a woman must undergo an ultrasound scan at intervals set by the doctor.

Only the attending physician can choose the best method for removing fibroids after examining the patient. At the same time, he takes into account the number, location and size of tumors, the symptoms of the disease, the age of the woman and her desire to have children in the future.

In Bookimed partner clinics, doctors perform the following types of myomectomy:

Hysteroscopic myomectomy

This operation is suitable for women who have a small fibroid located in the uterine cavity. The intervention is carried out through the cervix, so there are no postoperative sutures on the skin. As a rule, the patient goes home a few hours after the operation.

Laparoscopic or robotic removal of uterine fibroids

Surgery is usually prescribed to remove a few medium-sized fibroids. The intervention is carried out through 5 thin punctures in the abdominal cavity or through one puncture in the navel, where thin surgical instruments are inserted. During a robotic operation, all actions are performed by a special Da Vinci robot surgeon, which is controlled by a doctor using a remote control. This procedure is most accurate, with minimal risk of damaging tissues and blood vessels.

During the operation, the patient is under general anesthesia. After the intervention in the clinic, it is necessary to spend 3-4 days.

Abdominal myomectomy

This type of myomectomy is prescribed for:

• multiple fibroids;
• large myomatous nodes (diameter from 8 cm);
• tumors that are located deep in the abdominal cavity.

During the operation, the doctor makes one incision in the lower abdomen. So he gets a complete overview of the meta-operation, therefore he can carry out the removal of a tumor of any complexity.

After the intervention, the patient needs to stay in the clinic for 5-7 days.

To confirm the presence of a myomatous node, the gynecologists of the Bookimed partner clinics recommend undergoing an ultrasound, blood and urine tests. These studies allow you to exclude other diseases and evaluate how the tumor affected the functioning of the female body.

If ultrasound is not informative enough, doctors may prescribe:

• Magnetic resonance imaging (MRI)

It helps to accurately determine the size, location and type of tumor, to choose the best method of treatment. As a rule, such an examination is carried out for large fibroids or women who are approaching menopause.

• Hysterosonography

This is an ultrasound examination, during which doctors inject a saline solution into the uterine cavity. So they get the most accurate image of the fibroids and the mucous membrane of the organ. Usually, the diagnosis is carried out in women who have problems conceiving, or with heavy menstrual bleeding.

• Hysterosalpingography

During the procedure, the patient is injected with a special substance. It is highlighted on the x-ray, so it allows you to get an accurate image of the uterine cavity and fallopian tubes. Often, an examination is carried out with problems with conception to determine if fibroids are blocking the fallopian tubes.

• Hysteroscopy

This is an examination of the uterine cavity using a special device - a hysteroscope. It resembles a thin telescopic tube that the doctor inserts through the cervix into the organ. This allows you to clearly see its internal tissues.

The diagnostic program before the operation depends on the previous examination, the age and general health of the patient. Contact our coordinating doctor to clarify which diagnostics the clinic will offer you.

The cost of uterine fibroids removal is affected by:

• Country and clinic selected for the operation

The price of uterine fibroids surgery in a particular country depends on its level of economic development. Prices in different clinics of the same state differ depending on the type of medical institution (private / public).

• Physician Qualification

The more qualified the doctor, the higher the cost of the operation he performs. So the operation of an ordinary surgeon often costs less than that of a professor.

• Type of surgical intervention

Different types of myomectomy have different costs. As a rule, the prices for laparoscopic and robotic removal of uterine fibroids are higher than for abdominal and hysteroscopic myomectomy. This is due to the fact that the first two types of intervention are technically more difficult and require additional equipment.

According to Bookimed partner clinics, the price of uterine fibroids removal often includes:

• preoperative tests;
• carrying out the operation;
• necessary medical supplies;
• hospitalization in the postoperative period.

What is included in the myomectomy program at the clinic of your choice, check with the Bookimed coordinating doctor.

According to medical protocols , in addition to removing uterine fibroids, doctors can perform:

• drug therapy to relieve symptoms;
• hormonal treatment, which allows you to reduce the size of the tumor;
• embolization of the arteries that feed fibroids, as a result of which blood and nutrients stop flowing to the tumor, so it collapses over time;
• ultrasonic ablation, in which fibroids are destroyed using high temperatures.

It is important to remember that only the attending physician can choose the method of treatment, taking into account the characteristics of the development and symptoms of the disease, the desire to have children in the future.

On our site there are 65+ clinics for the removal of uterine fibroids. They are collected in a rating, which is based on patients' feedback on myomectomy, doctors' qualifications, and the expert opinion of Bookimed coordinating doctors.

If you find it difficult to make a choice on your own, leave a request on our website. You will be contacted by a medical coordinator who will evaluate your case from a medical point of view and offer the best options.

To undergo a myomectomy abroad, leave a request on our website. At a convenient time for you, a Bookimed medical coordinator will contact you and answer all your questions. He will tell you which clinic is suitable for your case, what the procedure includes and how much it costs, what documents are needed.

Our care department will assist you with travel arrangements, ticket purchases and hotel reservations.

Some clinics provide airport transfer, translation services. Whether this is included in the price at the medical center of your choice, you need to clarify additionally. If you have any further questions, you can contact your Bookimed medical coordinator.

The patient pays for the treatment at the clinic's cash desk.

Bookimed services are free.