Myomectomy is the surgical removal of uterine fibroids (non-cancerous growths) while preserving the uterus. At Mother Hospitals, Boduppal, we perform laparoscopic myomectomy (keyhole surgery) and hysteroscopic myomectomy depending on fibroid location and size. The procedure preserves fertility and avoids hysterectomy. Led by Dr. E. Prashanthi Reddy (TGMC Reg: 50624). Call 97059 93366 for consultation.
Uterine fibroids affecting your periods, fertility, or quality of life? Mother Hospitals, Boduppal, offers laparoscopic myomectomy — keyhole fibroid removal that preserves your uterus and your fertility. Led by Dr. E. Prashanthi Reddy, gynaecologist and laparoscopic surgeon with 20+ years of experience.
MBBS, DGO, PG Diploma in ART – Kiel University, Germany | 20+ Years Experience | TGMC Reg: 50624
Uterine fibroids (also called leiomyomas or myomas) are non-cancerous growths that develop from the smooth muscle tissue of the uterus. They are among the most common benign tumours in women of reproductive age. While the word "tumour" can sound alarming, fibroids are almost always benign — malignant transformation (uterine sarcoma) occurs in fewer than 1 in 1,000 cases.
Grow on the outer surface of the uterus, projecting into the pelvic cavity. Often reach a large size before causing symptoms. Main symptoms: pelvic pressure, urinary frequency (bladder compression), and constipation (bowel compression). Less likely to cause heavy bleeding or directly affect fertility unless very large.
Located within the muscular wall (myometrium) of the uterus — the most common fibroid type. Smaller intramural fibroids may be asymptomatic. Larger ones expand the uterus, cause heavy menstrual bleeding, pelvic cramping, and — when they distort the uterine cavity — can impair implantation and fertility.
Grow just beneath the uterine lining (endometrium), protruding into the uterine cavity. Even small submucosal fibroids cause disproportionate symptoms — heavy menstrual bleeding, prolonged periods, and significantly impaired fertility. These are the most likely fibroid type to cause recurrent miscarriage and failed IVF implantation.
Attached to the uterus via a narrow stalk (pedicle). Can be subserosal (stalk on the outer surface) or submucosal (stalk projecting into the cavity). Pedunculated subserosal fibroids occasionally twist on their stalk, causing sudden, severe pelvic pain — a gynaecological emergency requiring urgent surgery.
Uterine fibroids are remarkably common:
Fibroids are found in approximately 5–10% of infertile women and may be the sole cause of infertility in 2–3% of cases. However, not all fibroids impair fertility:
Myomectomy is the surgical removal of fibroids from the uterus — leaving the uterus intact. Unlike hysterectomy (removal of the entire uterus), myomectomy specifically targets the fibroids while preserving the uterine architecture. It is the surgery of choice for women who wish to preserve their fertility or their uterus.
For women who have not completed their family or who wish to retain their uterus for personal or cultural reasons, myomectomy is the definitive surgical treatment for fibroids. The key evidence-based benefits for fertility include:
Dr. Prashanthi's approach: At Mother Hospitals, the decision between myomectomy and medical management is always made individually — based on fibroid type, size, location, symptom severity, and your fertility goals. We never recommend surgery that isn't necessary.
The right type of myomectomy depends on the number, size, and location of your fibroids. Dr. Prashanthi Reddy will recommend the most appropriate approach after reviewing your ultrasound or MRI results.
Keyhole surgery — 3 to 4 small incisions (5–10mm) in the abdomen. The laparoscope (camera) and instruments are inserted through these ports. Fibroids are removed using electrosurgical instruments, and the uterine wall is sutured in layers using intracorporeal stitching.
No incision at all — the resectoscope (a thin telescope with an operating channel) is passed through the cervix and into the uterine cavity. Submucosal fibroids that protrude into the cavity are resected (shaved away) using bipolar electrical energy. The resected tissue is washed out of the cavity.
A horizontal (Pfannenstiel/bikini-line) incision is made in the lower abdomen — similar to a caesarean section incision. The uterus is opened, fibroids are removed, and the uterine muscle is repaired in multiple layers. Reserved for cases where laparoscopic access is not feasible.
Not all fibroids require surgery. Many small, asymptomatic fibroids can be observed. The following symptoms and fibroid characteristics indicate that surgical removal is appropriate.
From consultation to recovery, here is what to expect when you undergo myomectomy at Mother Hospitals, Boduppal.
Before surgery, Dr. Prashanthi Reddy performs a thorough pre-operative assessment to plan the safest, most effective approach for your specific fibroids:
Under general anaesthesia, the abdomen is inflated with CO2 gas (pneumoperitoneum) via a Veress needle. A 10mm camera port is placed at the umbilicus and 2–3 additional 5mm working ports are placed in the lower abdomen. The fibroid is identified, and an incision is made into the overlying uterine myometrium. The fibroid is grasped with a myoma screw and shelled out from the uterine wall using blunt and sharp dissection. Haemostasis is maintained throughout with bipolar diathermy. The uterine defect is sutured in 1–3 layers depending on depth using absorbable sutures. The fibroid is placed in an endobag and morcellated for removal through the port. Total operative time: 60–150 minutes depending on the number and size of fibroids.
Recovery varies by individual and fibroid complexity. Dr. Prashanthi Reddy will give you a personalised timeline.
One of the most common questions patients ask is: "Will I be able to get pregnant after myomectomy?" The answer, for the large majority of women, is yes.
Myomectomy improves fertility in women whose fibroids were the cause of their infertility or recurrent miscarriage. Key data points from published research:
At Mother Hospitals, we offer integrated IVF care alongside surgical services. For women who need IVF after myomectomy, the evidence is encouraging:
Combined IVF + Gynaecological Surgery: Mother Hospitals is one of East Hyderabad's few centres offering both advanced laparoscopic surgery and a full IVF laboratory under one roof. This means your gynaecological surgery, post-operative care, and subsequent IVF treatment are all coordinated by the same specialist — avoiding delays and improving continuity of care.
Some fibroids can be temporarily managed with medications. Understanding when medication is appropriate — and when surgery is necessary — is important for making the right decision.
GnRH agonists suppress oestrogen production, creating a temporary medical menopause. Fibroids shrink by 30–50% during treatment. Used for:
Limitation: Fibroids regrow to their original size within 3–6 months of stopping GnRH agonists. Medical treatment is not a permanent cure.
Myomectomy is recommended when:
The cost of myomectomy in Hyderabad depends on multiple factors — there is no single fixed price. Key variables include:
Hysteroscopic myomectomy is typically less expensive than laparoscopic myomectomy. Open myomectomy (with longer hospital stay) has higher costs due to extended care requirements.
A single small fibroid requires a shorter, simpler procedure than multiple large fibroids. Operative time and complexity directly affect cost.
Day procedure vs 1–2 night stay. General anaesthesia team fees. Room category (standard vs deluxe). Histopathology of removed fibroid tissue.
MRI (if required for fibroid mapping), pre-op blood tests, haemoglobin optimisation, GnRH agonist pre-treatment — add to the total package.
For a personalised cost estimate based on your ultrasound/MRI findings and planned procedure, please contact us directly. We will provide a clear, all-inclusive cost breakdown with no hidden charges.
Dr. E. Prashanthi Reddy (MBBS, DGO, PG Diploma in ART — Kiel University, Germany) combines gynaecological surgery expertise with fertility medicine. Advanced Laparoscopy training from Satwalekar Institute, Hyderabad. 20+ years of experience in laparoscopic and hysteroscopic gynaecological procedures.
Uniquely, Mother Hospitals offers both laparoscopic fibroid surgery and a complete IVF laboratory at the same centre. If you need myomectomy before IVF, both are coordinated by the same doctor — eliminating the need to see multiple specialists at different hospitals.
Most laparoscopic myomectomies at Mother Hospitals are 1-night-stay procedures. Hysteroscopic myomectomy is a day procedure. This means less time off work, lower costs, and faster return to your normal life.
Every surgical decision is made with your fertility in mind. We minimise myometrial damage, use meticulous multi-layer uterine closure, and avoid excessive electrosurgery that could harm the endometrium. Our approach is always uterus-sparing and fertility-preserving where medically appropriate.
Conveniently located in Boduppal, Mother Hospitals serves patients from Uppal, Habsiguda, Peerzadiguda, Ghatkesar, Nagole, Medipally, and the wider East and East-Central Hyderabad region. 4.7★ Google rated. 10,000+ families served over 20+ years.
All fibroid tissue removed at Mother Hospitals is sent for histopathology to confirm the benign nature of the lesion and to exclude the rare (1 in 1,000) possibility of leiomyosarcoma. This provides important medical documentation and peace of mind.
Yes, there is a recurrence risk — but it is manageable. Studies show approximately 20–30% of women who have had myomectomy will develop new fibroids within 5 years. This is because myomectomy removes existing fibroids, not the underlying predisposition. However, many new fibroids are small and asymptomatic. Recurrence risk is higher in women who had multiple fibroids at the time of surgery. If pregnancy is achieved soon after myomectomy, the hormonal changes of pregnancy and post-partum may reduce recurrence risk.
If your fibroids are small, asymptomatic, and not affecting your fertility, watchful waiting (regular monitoring with ultrasound every 6 months) is entirely appropriate. Medical treatment (GnRH agonists, tranexamic acid, the Mirena coil) can help manage symptoms but does not cure fibroids. Surgery becomes necessary when fibroids are causing significant symptoms — heavy bleeding with anaemia, pelvic pain, urinary problems, recurrent miscarriage, or infertility. After menopause, fibroids shrink naturally and surgery can usually be avoided.
Laparoscopic myomectomy is a moderate-complexity gynaecological procedure performed under general anaesthesia. While it is not a minor procedure, it is significantly less invasive than open (abdominal) surgery — with shorter hospital stay, faster recovery, and less risk of adhesion formation. Hysteroscopic myomectomy is considered a minor-to-moderate procedure with a very short recovery. Open myomectomy (for very large or numerous fibroids) is a major abdominal operation with a recovery comparable to a caesarean section.
Laparoscopic myomectomy has very high technical success rates (98–99% fibroid removal) when performed by an experienced laparoscopic surgeon. Symptom improvement — reduction in heavy bleeding, pain relief, and improved quality of life — is reported in 80–95% of patients. Fertility outcomes are positive: overall pregnancy rate after myomectomy in women with fibroid-related infertility is approximately 55–65%, with higher rates in younger women with isolated submucosal fibroids. The key to success is correct patient selection and surgical expertise.
No — myomectomy does not cause premature menopause. The ovaries are not touched during myomectomy (only the fibroids within or on the uterus are removed), so ovarian function continues normally. Your periods will return after recovery, and your ovarian reserve (AMH) is unaffected. Premature menopause is a risk of oophorectomy (ovary removal) or hysterectomy with bilateral oophorectomy — not myomectomy.
Most women find laparoscopic myomectomy recovery significantly more manageable than they expected. On Day 1 post-surgery you will be mobile and taking oral fluids. Days 2–7 involve mild-to-moderate abdominal discomfort (managed with oral painkillers), fatigue, and some vaginal spotting. By Day 7–10, most women with desk jobs can return to work. Light walking is encouraged from Day 2. No heavy lifting, strenuous exercise, or sexual intercourse for 4 weeks. At your 6-week review, most activities including exercise can resume. Full uterine healing (relevant for future pregnancy safety) is complete by 3–6 months.
It depends on the type of myomectomy and the depth of the uterine incision. After hysteroscopic myomectomy (no uterine wall incision): vaginal delivery is usually possible. After laparoscopic myomectomy: if the fibroid was superficial or the uterine wall was not deeply incised, vaginal delivery may be permitted — the decision is made by your obstetrician based on the operative notes and healing. After open myomectomy (deep uterine incision): caesarean section is generally recommended to prevent uterine rupture during labour. Always carry your myomectomy operative report to your obstetrician.
Multiple fibroids can be removed at a single laparoscopic procedure — this is called multiple myomectomy. The feasibility depends on the number, size, and location of fibroids. Pre-operative MRI fibroid mapping helps plan the surgical approach. If fibroids are extremely numerous (fibroid uterus) or very large, a combined laparoscopic-hysteroscopic approach or open myomectomy may be necessary. In some cases of very extensive fibroid disease in women who have completed their family, hysterectomy may be discussed as a definitive solution — but this is only offered when the patient agrees it is the right choice for them.
Dr. E. Prashanthi Reddy · TGMC Reg: 50624 · Boduppal, Hyderabad