How Long Does Fibroid Surgery Take?

How Long Does Fibroid Surgery Take?

This article is for general information only and does not replace a personal medical consultation.

The duration of fibroid surgery depends on the size, number and location of the fibroids and on the surgical technique. In general it ranges from 30 minutes to 2.5 hours. Below you will find durations by method, preparation, recovery and frequently asked questions, as explained by Op. Dr. Hüseyin Kılıç, obstetrician and gynaecologist in Ziyapaşa, Adana.

What Are Fibroids and Who Gets Them?

Fibroids are benign tumours arising from the muscle layer of the uterus. They often cause no symptoms but may lead to heavy periods, pelvic pain, frequent urination and infertility. They are more common in women aged 30 to 50, and the risk may be higher with a family history or high hormonal sensitivity.

Types of Fibroid Surgery

Open myomectomy

Removal through an abdominal incision, preferred for multiple or large fibroids. Hospital stay and recovery are longer than with other methods.

Laparoscopic myomectomy

Performed through small incisions with a camera and special instruments. It may offer less pain, faster recovery and a cosmetic advantage in suitable patients.

Hysteroscopic myomectomy

Fibroids protruding into the uterine cavity are cut and removed through the vagina. No abdominal incision is needed and most patients can go home the same day.

Duration by Method

• Open myomectomy: about 1.5–2.5 hours; longer with large or numerous fibroids.


• Laparoscopic myomectomy: usually 1–2 hours, depending on experience and fibroid position.


• Hysteroscopic myomectomy: mostly 30–60 minutes; fluid balance and how far the fibroid extends into the cavity can affect duration.

Preparation

Blood tests and imaging such as ultrasound or MRI are performed and an anaesthesia assessment is completed. Fasting for 6–8 hours is usually advised. Medications affecting bleeding are adjusted on the doctor's advice, and stopping or reducing smoking supports healing.

Recovery

• Open: 3–5 days in hospital; return to daily activities often takes 4–6 weeks.


• Laparoscopic: often 1–2 days in hospital; daily life in 2–4 weeks.


• Hysteroscopic: most go home the same day; daily life in 1–2 weeks.

Wound care, pain control and early mobilisation support recovery. Avoid heavy lifting and intercourse for the period your doctor recommends.

Pregnancy After Fibroid Surgery

Removing fibroids that distort the uterine cavity may improve the chance of pregnancy in some patients. Timing should be planned with the doctor, taking into account the location and number of removed fibroids and healing of the uterine wall.

Frequently Asked Questions

When can sexual activity resume?

Usually after 4–6 weeks, depending on the method and healing.

Will there be a scar?

Minimal with laparoscopic and hysteroscopic methods; more visible after open surgery.

Can fibroids come back?

Yes, new fibroids may develop due to genetic and hormonal factors; regular check-ups are recommended.

Is it covered in state hospitals?

It may be covered by Turkish social security (SGK) depending on medical indication; check current rules with the institution.

Are periods irregular afterwards?

Short-term irregularity is common and usually normalises within a few months.

When can I return to work?

About 1–2 weeks after hysteroscopy, 2–4 weeks after laparoscopy and 4–6 weeks after open surgery.

In Adana

Every patient is different; the right plan and timing are determined after examination and imaging. Patients from Seyhan, Çukurova, Yüreğir and Sarıçam can contact the clinic of Op. Dr. Hüseyin Kılıç in Ziyapaşa, Adana, for evaluation.