Myomectomy - Uterine Fibroid Removal
Do you suffer from uterine fibroids and are looking for a surgical solution that preserves your uterus? Myomectomy in Tunisia is a gynecological procedure that removes fibroids while preserving your fertility. With attractive prices starting from €2500, benefit from experienced surgeons and modern techniques (laparoscopy, hysteroscopy, laparotomy).
What is a myomectomy?
Myomectomy is a surgical procedure that removes one or more uterine fibroids (myomas) while preserving the uterus. Fibroids are benign tumors that develop in the uterus and can cause:
- Abdominal pain
- Heavy menstrual bleeding
- Fertility problems
Myomectomy is generally recommended for women who wish to preserve their uterus for fertility or personal reasons. This procedure can improve pregnancy chances in women with submucous fibroids.
When is a myomectomy necessary?
This surgery is recommended when uterine fibroids cause bothersome symptoms: pelvic pain, heavy bleeding, pressure on neighboring organs, or infertility. However, it is not necessary to perform a myomectomy in all cases; simple monitoring may be sufficient for asymptomatic fibroids.
What are the types of myomectomy?
- Abdominal myomectomy (laparotomy): Transverse incision in the abdomen for large or multiple fibroids. Recovery: 4 to 6 weeks.
- Hysteroscopic myomectomy: Via the vaginal route, without incision, for fibroids located in the uterine cavity. Recovery: 2 to 3 days.
- Laparoscopic myomectomy (coelioscopy): Small incisions for medium-sized fibroids. Recovery: 2 to 4 weeks.
- Robotic myomectomy: Variant of laparoscopy assisted by robot, for small to medium-sized fibroids.
How to prepare for the procedure?
Preparation varies depending on the technique used. For hysteroscopy, it is preferable to schedule the procedure outside of bleeding periods. In case of continuous bleeding, the procedure can still take place. It is necessary to prepare the operative area (shaving, disinfectant shower) and provide all recent examinations (ultrasound, MRI, blood tests). Don't forget your health insurance card and insurance documents.
How is the surgery performed?
Myomectomy is performed under general or locoregional anesthesia. The surgeon chooses the approach according to the size and location of the fibroids: laparotomy (opening the abdomen), coelioscopy (small incisions) or hysteroscopy (via the vaginal route). The goal is to remove the fibroids while reconstructing the uterus to preserve its function.
What does post-operative recovery look like?
Recovery after a myomectomy depends on the type of surgical procedure performed. For a laparotomy, recovery takes 4 to 6 weeks, with frequent bleeding and slow transit possible. Laparoscopy requires 2 to 4 weeks of recovery, with shoulder pain due to gas lasting 24 to 48 hours. In contrast, hysteroscopy allows rapid recovery in just 2 to 3 days. Painkillers are prescribed to relieve post-operative pain. It is recommended to wait one year before starting a pregnancy after a myomectomy to allow complete healing. Possible risks include urinary infections, adhesions, intestinal obstruction or bleeding.
What are the advantages of myomectomy in Tunisia?
Myomectomy in Tunisia offers several major advantages. It preserves the uterus and fertility in concerned patients. Minimally invasive techniques, such as laparoscopy or hysteroscopy, are widely available. Gynecological surgeons are highly experienced and trained to international standards. Prices are competitive, with savings of up to 50% compared to Europe. Finally, each patient receives personalized follow-up and support throughout their journey.
What is the price of myomectomy in Tunisia?
The price of a myomectomy in Tunisia varies depending on the technique used and the complexity of the case. Our all-inclusive packages are offered from €2500. This package includes consultation with the gynecologist, as well as preoperative examinations. The surgical procedure is performed according to the chosen technique for each patient. Hospitalization in a private room is planned for 2 to 5 days, depending on the method used. Post-operative care, medications and medical follow-up are also included. The package price ranges from €2500 for a laparoscopy to €4500 for a complex laparotomy. Request your personalized quote to know the exact cost of your procedure.
Frequently asked questions about myomectomy
1Is there a risk of fibroid recurrence after a myomectomy?
Yes, there is a risk of recurrence, as new fibroids may appear after the procedure. The recurrence rate is about 10 to 15% within 5 years of surgery. Regular gynecological monitoring is recommended to detect any recurrence early.
2How long after a myomectomy can I consider a pregnancy?
It is generally recommended to wait 6 to 12 months after a myomectomy before starting a pregnancy, to allow the uterus to heal completely. The exact delay depends on the technique used and the extent of the sutures. Your gynecologist will give you a personalized recommendation.
3Does myomectomy increase the risk of cesarean section in a future delivery?
Yes, a myomectomy can increase the risk of cesarean section, as the uterine scar can weaken the wall. Vaginal delivery remains possible in some cases, but the decision is made on a case-by-case basis, depending on the location and number of fibroids removed.
4What are the warning signs to watch for after a myomectomy?
Consult quickly if you experience intense and sudden abdominal pain, heavy bleeding (more than a normal period), fever (temperature > 38 °C), foul-smelling discharge, or a general feeling of malaise. These signs may indicate an infection, hemorrhage or other complication requiring prompt management.
5Can a myomectomy be performed after menopause?
Yes, a myomectomy can be performed after menopause, especially if the fibroids remain symptomatic (pain, bleeding or compression of neighboring organs). In some cases, a hysterectomy may be preferred, but the decision is made based on symptoms and the patient's wishes.
6Can a myomectomy be performed at the same time as another gynecological surgery?
Yes, it is possible to combine a myomectomy with other gynecological procedures such as urinary incontinence surgery, diagnostic hysteroscopy or endometrial surgery. This approach reduces the number of procedures and hospitalizations. Feasibility is assessed on a case-by-case basis.
7What is the average duration of a myomectomy?
The duration of the procedure varies depending on the technique and complexity: hysteroscopy takes about 30 to 45 minutes, laparoscopy 1 to 2 hours, and laparotomy 1h30 to 3 hours for complex cases. The surgeon will give you an estimate before the operation.
Why choose Tunisia for a myomectomy?
Tunisia is a leading medical destination in gynecology. It has highly experienced gynecologists, trained in Europe and Canada. Operating rooms are equipped with the latest technologies. Prices are very competitive, up to 50% cheaper than in Europe. Procedures are scheduled quickly, within 1 to 2 weeks. Patients benefit from a pleasant setting and a French-speaking team.
In conclusion
Myomectomy is an effective solution to treat uterine fibroids while preserving the uterus and fertility. In Tunisia, Tunisie Esthetic offers you quality care, performed by experienced gynecologists, with minimally invasive techniques and attractive prices. Feel free to contact us for a personalized quote and to discuss your situation.