Robotic surgery for fibroid removal: what to know

During a robotic myomectomy, the surgeon separates fibroids from the womb while aiming to preserve the womb itself. A camera provides a magnified view, and the instruments allow controlled movement through the abdominal openings. Suitability depends on the fibroids' number, size, position, symptoms, previous operations, general health, and plans for pregnancy. The operation is different from a hysterectomy, which removes the womb. Recovery and future pregnancy advice depend on the depth of the womb incisions and how they are repaired.

Bring details about heavy periods, pelvic pain, pressure symptoms, fertility plans, previous surgery, and medicines. Ask whether imaging has mapped the fibroids clearly and whether robotic access is appropriate. Discuss alternatives such as open or laparoscopic myomectomy, uterine artery embolisation, radiofrequency fibroid ablation, or hysterectomy. Your surgeon should explain expected recovery, possible conversion to another surgical approach, and how the procedure may affect pregnancy planning.

Contact the surgical team urgently for heavy bleeding, faintness, chest pain, breathlessness, severe abdominal pain, persistent vomiting, fever, or a wound that becomes increasingly red or swollen. A sudden painful swollen leg also needs urgent assessment. Some soreness, tiredness, and light wound bleeding can occur during recovery, but symptoms that worsen rather than gradually improve should be reported.

Ask how the fibroid location affects the operation, whether the womb can be preserved, how long activity restrictions may last, and what pregnancy advice applies afterward. Ask how your plan compares with myomectomy by another route, embolisation, ablation, or hysterectomy.