Myomectomy Risks & Complications: What to Expect

Overall complication rate:

The overall complication rate for myomectomies is approximately 10-20%.

Major complication rate:

The major complication rate for myomectomies is approximately 1-2%. Major complications include:

* Uterine rupture

* Hemorrhage

* Infection

* Deep venous thrombosis (DVT)

* Pulmonary embolism (PE)

Minor complication rate:

The minor complication rate for myomectomies is approximately 8-10%. Minor complications include:

* Pain

* Nausea and vomiting

* Urinary tract infection (UTI)

* Constipation

* Diarrhea

* Fatigue

* Incisional hernia

Risk factors for complications:

The risk of complications from a myomectomy may be increased by the following factors:

* Age over 35 years

* Obesity

* Diabetes

* High blood pressure

* History of uterine surgery

* Previous cesarean section

* Multiple fibroids

* Large fibroids

* Location of fibroids (e.g., intramural fibroids are more likely to cause complications than subserosal fibroids)

Prevention of complications:

The following measures may help to prevent complications from a myomectomy:

* Choosing a surgeon who is experienced in performing myomectomies

* Following the surgeon's instructions before and after surgery

* Taking medication as prescribed

* Getting plenty of rest

* Avoiding strenuous activity

* Eating a healthy diet

* Maintaining a healthy weight