MYOSURE
MyoSure is a procedure that can remove uterine fibroids or polyps without having to cut or remove any
part of the uterus. It is an ideal treatment option for women that want to preserve uterine form and
function. This is especially important for women who wish to bear children in the future. This is an
outpatient procedure (you return home on the same day of your procedure). On average, a grape-sized
fibroid can be removed in approximately 10 minutes.
Fibroids (a.k.a. leiomyoma or myoma) are non-cancerous tissue growths, or tumors, in the muscle walls
of the uterus. Fibroids can grow as a single mass, or there can be multiple fibroids in the uterus. They can
be as small as an apple seed or as big as a grapefruit. They may cause heavy or abnormal menstrual
flow, pelvic pain, and can interfere with becoming pregnant.
Uterine polyps are small protrusions of tissue that grow on the uterine lining (endometrium). They are
overgrowths of the same kind of cells as the lining itself and may appear as finger-like projections. As
they grow, they become fragile and bleed, They are a common cause of abnormal uterine bleeding.
Your doctor inserts an instrument (hysteroscope) through the vagina to visualize the inside of your uterus
in order to identify the fibroid or polyp. A tool is then inserted through the hysteroscope to remove the
tissue. Once the tissue causing your abnormal bleeding has been removed, your period could go back to
normal.
Unlike the removal of fibroids through the abdomen, a hysterscopic myomectomy requires no cuts or
incisions in the skin. The recovery period is quick because there is no need for general anesthesia, and in
a clinical study, the overall complication rate was less than 1% for myomectomies and polypectomies
Unlike the removal of fibroids through the abdomen, a hysterscopic myomectomy requires no cuts or
incisions in the skin. The recovery period is quick because there is no need for general anesthesia, and in
a clinical study, the overall complication rate was less than 1% for myomectomies and polypectomies
The overall effectiveness for reducing heavy bleeding caused by pathology is greater than 90% and has a
recurrence rate of less than 10% at 2 years. The overall effectiveness for reducing heavy bleeding caused
by pathology is greater than 90% and has a recurrence rate of less than 3% at 2 years. Some women will
experience some mild cramping after a myomectomy or polypectomy procedure. Your doctor may
recommend an over-the-counter pain reliever if cramping persists. You should be able to resume your
normal activities within 2 days. Very few patients experience complications following the procedure.
BEFORE SURGERY:
* For surgery scheduled at St. Lukes Hospital, pre-admission testing will be scheduled for you. Your
tests may include blood work, a urinalysis, chest x-ray, electrocardiogram and pregnancy test.
*
For surgery scheduled at Surgicare outpatient facility (on campus of St. Luke’s Hospital), you will
need to have pre-admission testing completed elsewhere.
*
The anesthesiologist will talk with you at the time of your testing regarding the specific type of
anesthesia that will be administered. Inform the anesthesiologist if you wear dentures, or have a
family history of anesthetic complications. He/she or one of the personnel in the out-patient testing
will tell you what time to report to the out-patient admitting office the day of your scheduled
surgery.
*
Do not bring jewelry or valuables with you to the hospital.
*
Stopping smoking before surgery if strongly encouraged.
ONE DAY PRIOR TO SURGERY:
*
ABSOLUTELY NO FOOD, LIQUID OR MEDICATION SHOULD BE TAKEN BY MOUTH AFTER MIDNIGHT
OF THE DAY PRIOR TO SURGERY UNLESS DIRECTED. Please let Dr. Croak and the anesthesiologist
know if you take any medicines daily, or have a chronic illness.
AFTER SURGERY:
*
The length of your hospital stay can vary, but is typically 1-2 hours
*
Perform breathing exercises every hour while awake in the hospital to keep lungs clear of excess
fluid; walking with assistance later in the day of surgery can help prevent blood clot formation
*
Normal activities, including sex, can be resumed in 2 weeks in most cases; meanwhile, do not place
anything in the vagina
*
Resume physical activities slowly; take showers instead of baths for 1 week
*
To avoid constipation eat fruits, vegetables & whole-grain foods. Drink 8 glasses of fluid daily.
*
You can drive after 1-2 days if you feel up to it, have discontinued narcotic pain meds, and can press
on the brake quickly without pain
*
Do not lift more than 15 lbs. until after your 1-week appointment; when you can return to work
depends on your responsibilities
*
You will be seen in the office at 1-2 weeks postoperatively, and as needed
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Please call the office with any questions or concerns at 419.893.7134
*
Notify your Dr. if you notice fever or chills, heavy vaginal bleeding or foul vaginal discharge,
redness, bleeding or discharge at the incision site, pain or swelling in your legs, shortness of
breath or chest pain, severe abdominal or pelvic pain