Uterine fibroids surgery: cost, duration and step by step

• Uterine fibroids surgery, commonly known as myomectomy, has the main goal of removing fibroids causing painful symptoms.
• Fibroids surgery has an approximate duration of 30-120 minutes, depending on the technique performed: laparoscopy or abdominal.
• The cost of uterine fibroids surgery includes all the elements and services necessary to perform the intervention under the safest conditions. 

Uterine fibroids surgery is also known as a myomectomy. They can appear at any age, although they are more common in women over 35 years of age, increasing the chances the older they get and decreasing when the menopause appears, as uterine fibroids have a very strong hormonal component.

Uterine fibroids are benign tumours formed by the cells from the smooth muscle cells of the uterus, causing the symptoms and leading to the need for surgery, just in the cases where the pain is severe and prevents the patient from leading a normal daily life.

Before describing the different symptoms caused by uterine fibroids, we need to point at the different types of fibroids we can find:

• Subserosal fibroids: This type of fibroids is formed in the most external part of the uterus. Although it doesn't cause bleeding or alterations in the menstrual cycle, it does cause a sensation of bloating and discomfort when oppressing adjacent organs to the uterus. These subserosal fibroids can become pedunculated when they detach from the uterus and are only attached to it by a small piece of tissue called a pedicle.
• Intramural fibroids: these types of fibroids are the most common ones, they grow inside the uterus and cause symptoms such as bleeding and pelvic pain.
• Submucous fibroids: they are caused in the most inner layer from the uterus, and they also cause more symptoms than the previous ones, specifically associated with abnormal bleeding in the uterus, in some cases even prolapsing outside the vagina.

The symptoms caused by uterine fibroids depend on different factors such as the size, its location and the quantity of fibroids present in the patient:

• Pelvic pain: also known as bloating feeling, being the most common on subserosal fibroids since they grow outside the uterus suppressing the structures of the rectum and the bladder, causing pain and bloating in the area.
• Abnormal uterine bleeding: it is the most common symptom in the fibroids and consists of the prolongation of the menstruation and bleeding between the period cycles. If it is prolonged over time, women who suffer from it may become anaemic.
• Infertility: Although it is possible to conceive with fibroids, it is possible that the appearance of the fibroid may cause alterations in the contents of the uterus causing difficulties for fertilisation and the establishment of the foetus. It is important to consult your gynaecologist if you are looking to have children.

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Once explained all the symptoms and uterine fibroids, we’re going to discuss the duration of the surgery. In this case, there’ll be a difference depending on the technique to be performed: laparoscopic, or abdominal.

The duration of the intervention is between 30 and 120 minutes, however there are other factors that may influence: 

Surgeon’s skills

Although all specialists in Gynecologists and Obstetrics are capable of performing uterine fibroids surgery successfully, depending on their experience in this technique, they will be more or less skilled. This is why if a surgeon has a lot of experience, the duration will be shorter than if he or she has little experience.

Number of fibroids to be removed

This is one of the factors that influence the length of the surgical intervention, since removing one fibroid won’t take the same amount of time as removing several.

Type of surgical technique chosen

Abdominal myomectomy usually lasts a minimum of 45 minutes and a maximum of approximately 120 minutes, while in the case of laparoscopic uterine fibroid surgery it ranges from 30 to 120 minutes.

Length of hospital admission

The length of hospital admission is 1 day in the cases of laparoscopic surgery, and up to 2 days in the cases of abdominal surgery.

In Operarme, we offer our patients a fixed all-inclusive price for Uterine fibroids which includes everything necessary for the process to be performed as safely as possible.

Through Operarme, we provide a competitive, transparent and closed price while maintaining the highest quality in materials, specialists and hospitals due to the large volume of surgeries we perform:

• The cost of Uterine fibroids via abdominal technique through Operarme is 4.190 €.
• The cost of Uterine fibroids via laparoscopy technique through Operarme is 5.390€.

Both prices include all the elements and services necessary for the safe performance of the surgery:

• Preoperative study (blood tests, electrocardiogram and chest X-ray according to medical indications).
• Medical and assistant fees until medical discharge.
• Anaesthetists' fees, anaesthesia and medical gases.
• Stay in a private room with a spare bed, hotel and laundry services for the patient for 2 days for abdominal myomectomy and 1 day for laparoscopic myomectomy.
• Products for the patient's hygiene and care, disposable and non-disposable, and food for the patient during the stay.
• Expenses related to the surgical act: Booking and use of the operating theatre, medical instruments, equipment, consumables and medications specific to the surgical act (not cytostatics or monoclonal antibodies or derivatives).
• Complementary tests during the hospital stay (analysis, electrocardiogram or chest X-ray).
• Stay in the post-surgical recovery room, monitoring and necessary treatments.
• Medical complications insurance, which covers possible eventualities such as the need for an extra day of hospitalisation. Learn more about this insurance service here

We also offer you the possibility of a transfer service to take you to the hospital on the day of admission, and from the hospital to your home on the day of discharge (you can read the conditions of the free transfer service here); as well as support and help of our patient service team, who will guide you and answer any concerns you may have, as well as managing the whole process so that you only have to worry about your health and getting better. 

We remind you that you can request a free assessment consultation with one of our specialists to assess your case and treat your hernia problem as soon as possible; click below:

Uterine fibroids surgery with Operarme

Request a free and immediate appointment with our specialists in Gynecology, and set a day for your intervention

Make appointment

First of all, you book a surgical assessment consultation with one of our gynaecologists, through our website.

You can ask for an appointment by clicking on the “Make an appointment” button, or filling our contact form here.

Once you have attended the appointment and the surgeon has confirmed the intervention and technique, our patient service team will contact you to inform you about the schedule and coming appointments of the patient’s surgical procedure. 

The first step is to attend the preoperative appointment which consists of the following tests:

• Electrocardiogram: This test allows the doctor and anaesthetist to know the patient's cardiovascular health.
• Blood test: it is necessary to determine if there is any sign of infection, which would cause a delay in surgery until it is under control.
• Chest X-ray: This test is only performed if the doctor considers it appropriate and will ensure that there is no infection and that the trachea is correctly aligned, in case intubation is required.

Once you have completed the preoperative study and visited the anaesthetist to check the results from the previous tests, you will wait for surgery day.

On the day of admission, our Patient Service team will have handled and scheduled everything for you, and you will just have to go to the hospital with the required documentation and hand it over to the admission staff so they can start preparing you for the intervention:

Myomectomy via laparoscopy

• Once the anaesthesia has taken effect, a catheter is placed in the patient's bladder and an intrauterine manipulator is placed to allow the surgeon to mobilise the uterus from the outside.
• After the area has been disinfected, a small incision is made through which a gas is introduced into the abdominal cavity to enlarge the space and allow the introduction of the tools necessary to carry out the removal of the fibroids via laparoscope. After this, two more incisions are made through which the laparoscope and other tools are inserted.
• Right after, the patient is repositioned in a position that allows the gynaecologist to carry out the procedure more safely and efficiently, and the removal of the fibroids begins.
• Using the laparoscope (a mini camera that allows the inside of the abdominal cavity to be viewed on a monitor), the surgeon will visualise all the organs and structures of the abdominal and pelvic cavity to ensure that everything is OK.
• The fibroids are then infiltrated with a substance that reduces blood circulation in the fibroid to reduce bleeding.
• The surgeon begins the removal of the fibroids closest to the cervix, gradually moving up towards the bottom of the uterus. After the removal of each fibroid, the bleeding is usually stopped by suturing with absorbable material.
• Once the fibroids have been removed, they are extracted vaginally, making a small opening in the upper part of the vagina, especially if the fibroids are very large and cannot be extracted through the incisions made previously.
• If several fibroids are removed, a drain must be left in place for a day, all at the doctor's discretion.
• After the whole process, the instruments and gas are removed, the incisions are sutured and the patient is awakened and then taken to the recovery room where she will finish recovering from the anaesthesia.

The duration of uterine fibroid surgery via laparoscopy is between 30 and 120 minutes.

In the case of abdominal myomectomy, the main difference is that the intervention is performed directly with an open incision in the lower part of the abdomen, being able to extract the fibroids through the incision and avoiding the vaginal area.

If you’d like to learn more about each surgical technique, you can find more detailed information in the following links:

• Abdominal Myomectomy: https://www.operarme.com/gynecology-and-obstetrics/abdominal-myomectomy-cost/
• Laparoscopic Myomectomy: https://www.operarme.com/gynecology-and-obstetrics/laparoscopic-myomectomy-cost/

If you are thinking of having surgery but don't know which doctor or hospital to go to, Operarme makes things easier for you by providing you with a free surgical assessment consultation.

You can meet our Specialist in Gynecology and Obstetrics in your city, tell him/her about your case, review your reports and medical tests, confirm that you require the intervention and together decide to solve the fibroids discomfort once and for all.

If you need more information about how we work or the Specialist Surgeon we work with in your city, you can contact our Patient Service Team through our contact form, indicating your email address and telephone number.

Get your surgery date with our gynecologists

Request now a free consultation with our specialists in Gynecology and set a date for uterine fibroids surgery.

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