The risks associated with myomectomy include bleeding and infection. The procedure may cause extensive pelvic scarring. This may make subsequent surgery more difficult and can even contribute to future fertility problems or cause adhesions leading to serious intestinal obstructions. Studies have shown that patients who have attempted to become pregnant after a myomectomy have a pregnancy rate between 40 and 60 percent. It should be noted that a significant number of women undergoing a myomectomy will later require a hysterectomy for fibroids .
Endoscopic resection is a technique used for submucosal fibroids.
A hysteroscope is used to remove lesions 5 centimeters and smaller through the vagina. The procedure is done under general or local anesthesia. Complications include hemorrhage and uterine perforation. This procedure is the surgical removal of the uterus. This could be performed through an abdominal or vaginal approach depending on the size of the uterus and a variety of other factors.