How Does a Surgeon Remove Uterine Fibroids in an Abdominal Myomectomy — And Is There a Better Option?

Uterine fibroids affect millions of women, often causing painful symptoms like heavy periods, pelvic pressure, bloating, and fatigue. For decades, one of the most common treatments was abdominal myomectomy — a surgical procedure to remove fibroids directly from the uterus.

But today, many women are asking: How does a surgeon remove uterine fibroids in abdominal myomectomy — and is it the only way?

Let’s take a closer look at how abdominal myomectomy works, what it involves, and why a non-surgical option called Uterine Fibroid Embolization (UFE) may be a better choice for many women.

How Does a Surgeon Remove Uterine Fibroids in an Abdominal Myomectomy?

An abdominal myomectomy is a type of open surgery performed under general anesthesia. During the procedure:

1. A horizontal or vertical incision is made in the lower abdomen.

2. The surgeon opens the uterus and carefully removes fibroids from the uterine wall.

3. Once removed, the uterus is repaired and the incision is closed with sutures.

4. Recovery typically requires a hospital stay and 4 to 6 weeks of downtime at home.

This approach is effective for large or deeply embedded fibroids, but it comes with significant downsides — including pain, scarring, long recovery, and potential impact on future pregnancies.

The Downsides of Abdominal Myomectomy

While abdominal myomectomy remains a standard option for some cases, many women experience:

• Longer recovery times compared to non-surgical options

• Post-operative pain and scarring

• Risks associated with general anesthesia

• Recurrence of fibroids in some cases

• A delay in returning to work, exercise, or family responsibilities

If you’re looking for a way to treat fibroids without surgery, there’s good news: You may not need an incision at all.

Uterine Fibroid Embolization (UFE): A Non-Surgical Alternative

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure that treats fibroids by cutting off their blood supply, causing them to shrink naturally over time.

At MTVIR in Dallas, UFE is performed by an interventional radiologist — not a surgeon — and usually takes under 90 minutes.

Here’s how UFE works:

1. A tiny catheter is inserted into the wrist or groin through a pin-sized incision.

2. Using real-time imaging, the catheter is guided to the arteries feeding the fibroids.

3. Microscopic particles are released to block the blood flow.

4. Without oxygen and nutrients, the fibroids begin to shrink — and symptoms improve.

No scalpel. No stitches. No hospital stay.

UFE vs. Abdominal Myomectomy: What’s Better?

Why More Women in Dallas Are Choosing UFE

At MTVIR, we specialize in uterine-preserving fibroid care, and we believe every woman deserves options beyond the operating room.

With UFE, many of our Dallas patients enjoy:

• Relief from heavy periods and bloating

• A shorter, easier recovery

• No surgical scars

• Reduced pelvic pressure and improved quality of life

No Hospital referral required!

Is UFE Right for You?

Not every woman is a candidate for UFE, but many are. If you’ve been told surgery is your only option, or you’re wondering how does a surgeon remove uterine fibroids in abdominal myomectomy — it’s time to explore all your choices.

Our team will help you understand your fibroid size, location, and whether UFE can safely and effectively treat your symptoms.

Looking for a fibroids clinic in Dallas?

Look no further. We have a state-of-the-art center in North Dallas, where we can perform not only consultations but also surgeries.

Find us at:

9101 N Central Expy, Suite 550, Dallas, TX 75225
Call (469) 458-9800
Or contact us here to schedule a consultation.