Treatments & Options - Myolyosis
CPT code: 56309

An advantage to myolyosis is that it preserves the uterus and reproductive system. It is used only for small fibroids, when a future pregnancy is not desired. The great disadvantage is extensive scar formation.

• Myomectomy
• Ablation
• Myolysis
• Hysterectomy
• Drug Treatments
• Doing Nothing
• Embolization

Uterine Fibroid Tumors Treatment - Myolysis

Myolyosis was initially offered as an alternative to myomectomy. It has limited applications. It is only appropriate for small fibroids, and it often produces adhesions on the uterine wall. Therefore this should not be done if a future pregnancy is desired.

Special equipment and a very skilled, experienced surgeon are required for this procedure.

Why Myolyosis?

Fibroid tumors need a blood supply to grow and survive. Myolyosis cuts off this supply by occluding the fibroid's vessels with an electric cautery needle, causing the fibroids to die and in many cases to even shrink.

A thin tube called a laparoscope (like a telescope) and a needle are inserted through a small puncture in the lower abdomen. With an electric needle the fibroid vessels are cauterized and the blood supply to the fibroid is interrupted. The fibroids will not grow any further and in many cases they may even shrink because they are deprived of nutrients.( A similar procedure, called Cryomyolyosis, uses a freezing probe to disrupt blood flow to fibroids.)

Myolyosis should be done only on fibroids measuring between 4 - 8 centimeters that are showing evidence of continued growth. Pretreatment with Lupron is recommended to shrink the fibroids before surgery. (It is important to note that Lupron may have side effects including menopausal symptoms for the patient.)

Hospital Stay and Recuperation

Myolyosis is an outpatient procedure. Recovery takes 24 to 48 hours on average. The patient can usually return to work in a week.