FEmISA - Fibroid Embolization: Information, Support & Advice

Myolysis FAQ   

MYOLYSIS FAQ

What is it?

Myolysis is the coagulation of the blood supply to the fibroid using a laser.  The fibroid then should shrink and die. Fibroid size can be reduced by 30-50%. It is not always successful.

back to top

How many are performed?

This is a new technique and very few centres in the UK perform it.  The number of procedures is unknown.  It was first performed in the late '80s. 

back to top

What happens?

A laser is inserted into the uterus via a laparoscope.  It is then inserted into the fibroids and coagulates the blood supply.  Two different types of laser can be used - a Nd:YAG laser and bipolar needles.

A fibroid of up to 10cm can be treated.  Women are not usually treated by myolysis if there are more than 4 fibroids, each of 5cm or more.  Each 8cm fibroid takes approximately 30 minutes to treat with a laser.

Normally drug treatment is given for 3 to 6 months before myolysis to reduce the size of the fibroid(s).  If they do not shrink by at least 30%, myolysis is not attempted.

Myolysis can be performed by itself or in combination with other procedures such as myomectomy or endometrial ablation.

A general anaesthetic is required.

back to top

How long would I stay in hospital?

This depends on which treatment has been performed.  In some centres performing myolysis alone patients can go home the same day.  If there is combination treatment with myomectomy hospital stay is much longer.

back to top

How long does it take to recover?

Again, this will depend on the procedure used.

back to top

Side effects and safety

It is essential that women do not become pregnant after myolysis.  There have been a number of cases of uterine rupture one ending in the death of the baby.

Myolysis is not always effective at reducing the size of the fibroid. Cryomyolysis only reduces fibroids by 10% with some increasing in size. Adhesions (tissues grow into one another after surgery causing severe pain and requiring surgical correction) can occur.

back to top

Effect on fertility

Although fertility is maintained this is not a treatment option for women with pregnancy wishes.

back to top

Questions to ask your doctor

  •   How long will I be in hospital?

  •   How will I feel immediately after the procedure?

  •   How much pain will I suffer?

  •   How much support will I need at home?

  •   What will I be able to do after the procedure?

  •   When can I return to work?

  •   What are the short-term side effects?

  •   What are the long-term side effects?

  •   What could go wrong?

  •   Will it have any effect on my sex life?

  •   Will I be able to become pregnant/?

  •   How will it affect my periods and menopause?

  •   Will I need HRT?

    • back to top

[home] [site map] [contact us]

Last updated: 12 Apr 2004