How you prepare

Food and medications

You'll need to fast — stop eating or drinking anything — in the hours before your surgery. Follow your doctor's recommendation on the specific number of hours.

If you're on medications, ask your doctor if you should change your usual medication routine in the days before surgery. Tell your doctor about any over-the-counter medications, vitamins or other dietary supplements that you're taking.

Ask your doctor about the type of anesthesia you may receive:

  • General anesthesia, which means you're asleep during surgery, is used for abdominal, laparoscopic, robotic and some hysteroscopic myomectomies
  • Spinal anesthesia, where medication is injected into your spinal canal to numb the nerves in the lower half of your body, is used for certain hysteroscopic myomectomies.

Finally, discuss with your doctor pain medication and how it will likely be given.

Other preparations

Whether you stay in the hospital for just part of the day or overnight depends on the type of procedure you have. Abdominal (open) myomectomy usually requires a hospital stay of two to three days. In most cases, laparoscopic or robotic myomectomy only requires an overnight stay. Hysteroscopic myomectomy is often done with no overnight hospital stay.

Your facility may require that you have someone accompany you on the day of surgery. Make sure you have someone lined up to help with transportation and to be supportive.

Aug. 10, 2017
  1. Vilos GA, et al. The management of uterine leiomyomas. Journal of Obstetrics and Gynaecology Canada. 2015;37:157.
  2. Baggish MS. Myomectomy. In: Atlas of Pelvic Anatomy and Gynecologic Surgery. 4th ed. 2016. Philadelphia, Pa.: Elsevier. Accessed March 3, 2016.
  3. Stewart EA. Overview of treatment of uterine leiomyomas (fibroids). Accessed March 3, 2016.
  4. Parker WH. Techniques to reduce blood loss during abdominal or laparoscopic surgery. Accessed March 3, 2016.
  5. Parker WH. Laparoscopic myomectomy and other laparoscopic treatments for uterine leiomyomas (fibroids). Accessed March 3, 2016.
  6. Parker WH. Abdominal myomectomy. Accessed March 3, 2016.
  7. Bougie O, et al. Treatment of Asherman's Syndrome in an outpatient hysteroscopy setting. Journal of Minimally Invasive Gynecology. 2015;22:446.
  8. Ferri FF. Uterine fibroids. In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. Accessed March 3, 2016.
  9. Reis FM, et al. Hormones and pathogenesis of uterine fibroids. Best Practice and Research Clinical Obstetrics and Gynaecology. In press. Accessed March 3, 2016.
  10. Kashani BN, et al. Role of medical management for uterine leiomyomas. Best Practice and Research Clinical Obstetrics and Gynaecology. In press. Accessed March 3, 2016.
  11. Bradley LD. Hysteroscopic myomectomy. Accessed March 3, 2016.
  12. Stewart EA. Uterine fibroids. New England Journal of Medicine. 2015;372:1646.
  13. Stewart EA (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 2016.