Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Fertility-Preserving Surgery
Myomectomy Surgery in Hyderabad: Fibroid Removal at Lux Hospitals
A myomectomy removes fibroids while leaving the uterus in place. It is the operation for a woman who wants her fibroid symptoms gone and her uterus kept: whether for future pregnancy or simply because it is hers.
It is technically harder than a hysterectomy and takes longer, which is part of why it is offered less often than it should be. Our gynaecologists at Lux Hospitals, HITEC CITY perform it hysteroscopically and laparoscopically, with the uterine repair done to withstand a future pregnancy.
- Uterus Preserved
- Fertility Protected
- Keyhole Techniques
What is a Myomectomy?
A myomectomy is the surgical removal of fibroids from the uterus, leaving the uterus itself intact and functional. The fibroid is separated from the surrounding muscle along a natural plane (its pseudocapsule) and shelled out, and the defect left behind is repaired in layers. The uterus heals, periods continue, and pregnancy remains possible.
Three routes exist, and which one applies depends almost entirely on where the fibroid sits. A submucosal fibroid bulging into the cavity is removed hysteroscopically, through the cervix, with no incision anywhere. Intramural and subserosal fibroids are removed laparoscopically through keyhole ports. Very large or very numerous fibroids may still require an open abdominal myomectomy.
The step that defines a good myomectomy is not removing the fibroid: it is repairing the uterus afterwards. The wall must be closed in layers strong enough to withstand the stretch of a full-term pregnancy and the force of labour. A poorly repaired uterus carries a real risk of rupture later, which is why this operation rewards experience and why the closure takes as long as the removal.
Why Fibroids Need Removing
The reason to operate is symptoms or fertility, never the mere presence of a fibroid on a scan.
-
Heavy bleeding and anaemia
The commonest reason. Fibroids increase the surface area of the uterine lining and interfere with the muscle contracting to stop bleeding.
-
Cavity distortion
Submucosal fibroids reduce implantation rates and increase miscarriage. This is the clearest fertility indication for surgery.
-
Pressure symptoms
Large fibroids press on the bladder causing frequency, or on the bowel causing constipation, and can cause visible abdominal swelling.
-
Pain
From degeneration within a fibroid outgrowing its blood supply, or from a pedunculated fibroid twisting on its stalk.
-
Rapid growth
A fibroid growing quickly, or growing after menopause, is removed so it can be examined rather than watched.
-
Failed conservative treatment
Where a hormonal IUD, tranexamic acid or other medical management has not controlled symptoms adequately.
A large fibroid causing no symptoms in a woman not trying to conceive does not need removing. Size alone is not an indication, however alarming the measurement on the scan report looks.
Who Needs a Myomectomy?
Myomectomy is for symptomatic fibroids in a woman who wants to keep her uterus. Symptomless fibroids need nothing.
Symptoms that justify surgery
- Heavy periods causing anaemia
- Periods lasting longer than seven days
- Pressure on the bladder or bowel
- A visibly enlarged abdomen
- Pelvic pain or pain during intercourse
- Fatigue and breathlessness from blood loss
Fertility indications
- Submucosal fibroids distorting the uterine cavity
- Difficulty conceiving with fibroids present
- Recurrent miscarriage
- Failed IVF cycles with cavity-distorting fibroids
- A fibroid blocking a fallopian tube
- Planning pregnancy with large or growing fibroids
Submucosal fibroids are the ones that genuinely affect fertility, because they distort the cavity where implantation happens. Removing those measurably improves conception and reduces miscarriage: the evidence for intramural fibroids is much weaker.
How the Surgery is Planned
Planning a myomectomy is about mapping: knowing exactly how many fibroids there are and precisely where each one sits.
-
Transvaginal ultrasound
Counts and measures the fibroids and establishes their relationship to the cavity, which determines the surgical route.
-
Saline infusion sonography
Fluid instilled into the cavity to define submucosal fibroids precisely and how much of each projects into the cavity.
-
MRI pelvis
Essential where fibroids are numerous or large. It maps each one for surgical planning and distinguishes fibroids from adenomyosis.
-
Haemoglobin and ferritin
Anaemia from prolonged bleeding is corrected with iron before surgery, since myomectomy itself involves significant blood loss.
-
Diagnostic hysteroscopy
Direct inspection of the cavity, which both confirms submucosal fibroids and often allows removal in the same sitting.
-
Fertility assessment
Where pregnancy is the goal, assessing ovarian reserve and tubal patency, and checking the partner’s semen analysis, before committing to surgery.
MRI before a complex myomectomy is not an indulgence. Knowing there are eleven fibroids rather than the four ultrasound showed changes the surgical plan, the counselling and the consent entirely.
Types of Myomectomy
Three approaches, chosen by fibroid position, size and number rather than by preference.
Minimally invasive
Hysteroscopic and laparoscopic routes
-
Hysteroscopic myomectomy
Submucosal fibroids shaved away through the cervix with no incision at all. Day care, quick recovery, and the best operation for bleeding and fertility problems.
-
Laparoscopic myomectomy
Intramural and subserosal fibroids removed through keyhole ports, with the uterus repaired laparoscopically. Two to three nights and a two-week recovery.
-
Robotic-assisted myomectomy
Laparoscopic surgery with robotic instruments, which makes the layered uterine suturing easier in complex cases. Higher cost, similar outcomes.
-
Laparoscopic-assisted mini-laparotomy
Keyhole dissection with removal and repair through a small incision. A middle route for larger fibroids where full keyhole repair is difficult.
Open
Abdominal myomectomy
-
Open abdominal myomectomy
Through a horizontal incision, for very large fibroids or where there are many. It allows the surgeon to feel fibroids that cannot be seen, and gives the most secure repair.
-
Pre-operative GnRH analogues
Two to three months of hormonal treatment to shrink fibroids and correct anaemia beforehand, sometimes converting an open case to a keyhole one.
-
Uterine artery occlusion
Temporary clamping or tying of the uterine arteries during surgery to reduce blood loss during a large myomectomy.
-
Cell salvage
Collecting and returning the patient’s own blood during surgery where substantial loss is anticipated, reducing the need for transfusion.
Blood loss is the main risk of myomectomy, not the removal itself. Correcting anaemia beforehand, shrinking fibroids with GnRH analogues and using vasopressin during surgery are what keep it manageable.
The Myomectomy Procedure
A hysteroscopic myomectomy takes thirty to sixty minutes; a laparoscopic one, ninety minutes to three hours.
Uterus-preserving surgery under general anaesthesia
-
Pre-operative optimisation
Iron to correct anaemia, and GnRH analogues for two to three months where fibroids are large. Blood is cross-matched for major cases.
-
Anaesthesia and access
General anaesthesia. For hysteroscopic surgery the scope passes through the cervix; for laparoscopic, four small abdominal ports.
-
Reducing blood loss
Dilute vasopressin injected into the uterine wall around each fibroid to constrict the vessels before any incision is made.
-
Incising over the fibroid
A single incision made over the fibroid, positioned so that several fibroids can be reached through it where possible.
-
Enucleating the fibroid
The fibroid shelled out of its pseudocapsule with traction and countertraction, staying in the correct plane so healthy muscle is spared.
-
Repairing the uterus in layers
The defect closed in two or three layers with strong sutures, obliterating any dead space. This is the step that determines whether the uterus is safe for pregnancy.
-
Retrieval and adhesion prevention
Fibroids removed in a containment bag, an anti-adhesion barrier placed over the uterine incision, and the ports closed.
Anti-adhesion barriers matter here more than in most operations. Adhesions forming between the healing uterus and the tubes or ovaries are a genuine cause of infertility after an otherwise successful myomectomy.
Why Choose Lux Hospitals for Myomectomy?
Myomectomy is harder than hysterectomy, which is why it is offered less often than it should be. Here is why patients trust us:
-
The uterus repaired for pregnancy
Layered closure of the uterine wall done to withstand a future pregnancy, with anti-adhesion measures to protect the tubes and ovaries.
-
Mapped before it is operated on
Ultrasound and MRI used to locate every fibroid, so the route is chosen properly and nothing is found unexpectedly mid-operation.
-
Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
-
Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Fertility Afterwards
Recovery ranges from a day after hysteroscopic removal to six weeks after open surgery. Conception waits three to six months.
- Days 1–3
Hysteroscopic myomectomy is day care. After laparoscopic surgery, discharge at two to three days with light bleeding expected.
- Days 4–14
Port-site soreness settles. Fatigue is common, particularly if you were anaemic beforehand. Most women return to desk work at two weeks.
- Weeks 2–6
Activity increases gradually. Intercourse resumes at four to six weeks. Histology of the fibroids reviewed at follow-up.
- Months 3–6
Conception generally advised to wait this long, allowing the uterine repair to heal fully. Your surgeon will advise based on how deep the incisions were.
- Long term
Periods usually become substantially lighter. Around a quarter of women develop new fibroids within five years.
Aftercare
-
Wait three to six months before conceiving
The uterine repair needs to heal completely. Conceiving too soon risks the scar giving way in later pregnancy, which is the one serious long-term risk.
-
Tell every future obstetrician about this surgery
A myomectomy scar affects how labour is managed. Where the cavity was entered, a planned caesarean is usually recommended. This must be on your record.
-
Keep replacing iron
Iron stores take months to rebuild after years of heavy bleeding, and surgery adds its own loss. Continue supplements as long as advised.
-
Avoid heavy lifting for six weeks
Both the uterine repair and the abdominal wall need time. Walking is encouraged from the first day.
-
Expect lighter periods, not none
Periods usually become markedly lighter and shorter. They do not stop: the uterus and its lining remain, which is the point of the operation.
-
Report heavy bleeding or fever
Bleeding heavier than a normal period, fever, offensive discharge, or increasing pain all need review rather than waiting.
Around three-quarters of women see their symptoms resolve after myomectomy, and pregnancy rates afterwards are good. The trade-off against hysterectomy is recurrence: new fibroids form in about a quarter within five years.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- Heavy periods with known fibroids, particularly if you are anaemic.
- Fibroids and difficulty conceiving.
- Recurrent miscarriage with fibroids present.
- Pressure symptoms or a visibly swollen abdomen.
- A hysterectomy has been recommended and you want to keep your uterus.
- Fibroids growing rapidly, or growing after menopause.
Cost of Myomectomy in Hyderabad
Cost depends on the route, which in turn depends on how many fibroids there are and where they sit.
| Procedure | Estimated Cost |
|---|---|
| Consultation Per visit | ₹800 – ₹1,500 |
| Pre-operative workup Bloods, ultrasound, ECG, anaesthetic review | ₹5,000 – ₹12,000 |
| MRI pelvis for mapping For multiple or large fibroids | ₹8,000 – ₹18,000 |
| Hysteroscopic myomectomy Day care; no incision | ₹75,000 – ₹1,40,000 |
| Laparoscopic myomectomy Two to three nights | ₹1,50,000 – ₹2,80,000 |
| Open abdominal myomectomy Four to five nights | ₹1,40,000 – ₹2,60,000 |
| Robotic-assisted myomectomy Includes robotic consumables | ₹2,80,000 – ₹4,50,000 |
What changes the estimate
-
Number and size of fibroids
Removing one fibroid is a different operation from removing fifteen. Each requires its own dissection and repair, and the time adds up.
-
Surgical route
Hysteroscopic removal is day care and least expensive. Laparoscopic surgery costs more in consumables but less in hospital stay than open surgery.
-
Pre-operative preparation
GnRH analogues for two to three months and intravenous iron add cost, but reduce blood loss and can make keyhole surgery feasible.
-
Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
-
Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Myomectomy Specialists at Lux Hospitals
The gynaecologists who perform myomectomy at our HITEC CITY hospital.
-
Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
-
Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Harshita Kakarla on women’s health and gynaecological care.
-
Myomectomy vs Hysterectomy: Which Is Right for You?
Dr. Harshita Kakarla
-
Fibroid Surgery Cost in Hyderabad
Dr. Harshita Kakarla
-
Can Ovarian Cysts Affect Fertility?
Dr. Harshita Kakarla
-
Signs and Symptoms of Adenomyosis: When to See a Doctor
Dr. Harshita Kakarla
-
Endometriosis Undiagnosed: Causes, Symptoms & Treatment
Dr. Harshita Kakarla
-
PCOS and Weight Management: Strategies for a Healthier You
Dr. Harshita Kakarla
Got Questions?
Frequently Asked Questions
Common questions about myomectomy, fertility afterwards, recovery and costs at Lux Hospitals.
Will I be able to get pregnant after a myomectomy?
In most cases, yes: preserving fertility is the main reason the operation exists. Removing submucosal fibroids that distort the cavity measurably improves conception rates and reduces miscarriage. You will usually be advised to wait three to six months before trying, so the uterine repair heals fully.
What are the benefits of laparoscopic myomectomy?
Small incisions rather than one large one, less post-operative pain, a two to three night stay instead of four to five, less blood loss, fewer adhesions, and a return to normal activity in around two weeks rather than six. The fibroid removal and uterine repair are equivalent to open surgery when performed by an experienced surgeon.
How long is the hospital stay after a myomectomy?
Hysteroscopic myomectomy is day care: you go home the same day. Laparoscopic myomectomy usually means two to three nights. Open abdominal myomectomy requires four to five nights. Return to desk work is around two weeks after keyhole surgery and six weeks after open.
Will I need a caesarean after a myomectomy?
Often, yes. Where the uterine cavity was entered or the incisions were deep into the muscle, a planned caesarean is usually recommended because of the small risk of the scar giving way during labour. Where fibroids were small, superficial or removed hysteroscopically, vaginal delivery is frequently still possible.
Will fibroids come back after a myomectomy?
They can. Around a quarter of women develop new fibroids within five years, because the operation removes existing fibroids but not the underlying tendency to form them. Recurrence is more likely where there were many fibroids to begin with, and where you are younger at the time of surgery.
Myomectomy or hysterectomy, which should I choose?
If you want to keep your uterus, whether for pregnancy or otherwise, myomectomy is the operation. It preserves fertility and periods but carries a recurrence risk. Hysterectomy is definitive with no possibility of recurrence, but ends fertility permanently. Where family is complete and fibroids are numerous, many women prefer the certainty.
Is myomectomy a major operation?
Yes, it is major surgery under general anaesthesia, and technically more demanding than a hysterectomy. The principal risk is blood loss, which is managed with pre-operative iron, GnRH analogues to shrink fibroids, and vasopressin during surgery. Occasionally, uncontrollable bleeding requires converting to hysterectomy: an uncommon outcome discussed as part of consent.
Will my periods stop after a myomectomy?
No. The uterus and its lining remain, so periods continue, usually markedly lighter and shorter than before, which is generally the point of the surgery. If periods stopping is what you want, that would require endometrial ablation or hysterectomy instead.
How much does myomectomy surgery cost in Hyderabad?
Hysteroscopic myomectomy is ₹75,000–₹1,40,000 as day care, laparoscopic myomectomy ₹1,50,000–₹2,80,000, open abdominal myomectomy ₹1,40,000–₹2,60,000, and robotic-assisted ₹2,80,000–₹4,50,000. Pre-operative workup adds ₹5,800–₹13,500, with MRI mapping a further ₹8,000–₹18,000 where needed.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring previous scan reports and images, and tell us at the outset whether you are planning a pregnancy: it genuinely changes how the operation is planned and performed.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Myomectomy Consultation in Hyderabad
Fibroid removal that keeps your uterus, with the repair done for a future pregnancy and costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032