Uzm. Dr. Ertan Özen
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- 36+years exp.
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Gynaecological Surgery
Robotic myomectomy
What robotic myomectomy is, how fibroids are removed through small incisions with a robotic system while the uterus is kept, what the evidence says compared with laparoscopic and open myomectomy, who is suitable, fertility and pregnancy advice, approximate costs in Turkey against the UK, US and Germany, recovery, risks and how to check a hospital.
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Prof. Dr. Zehra Neşe Kavak
GynaecologyVerified
- 36+years exp.
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What is robotic myomectomy and how does it work?
Robotic myomectomy is keyhole surgery to remove uterine fibroids (benign muscle growths in the womb) while keeping the uterus. The surgeon sits at a console beside the operating table and controls robotic instruments passed through four or five small cuts in the abdomen, each about 1 cm. A camera gives a magnified three-dimensional view, and the instruments move with a wider range than a human wrist. The surgeon opens the uterine wall over each fibroid, shells it out, repairs the muscle in layers with stitches and removes the fibroids in a protective bag through one of the incisions. Hospitals in Turkey perform it with a da Vinci system, mainly for women who want to keep their uterus or their chance of pregnancy.
This guide explains how the operation works, what the evidence says, what it costs compared with the UK, US and Germany, what recovery and fertility advice involve and how to check a hospital. Related operations are listed in our gynecology treatments in Turkey hub.
When is a myomectomy needed, and what do fibroids cause?
Many fibroids cause no symptoms and need no treatment. Surgery is considered when they cause heavy or prolonged periods, anaemia, pelvic pain or pressure, frequent urination, pain during intercourse or difficulty conceiving, and when medication has not helped enough. Myomectomy is chosen over hysterectomy when a woman wishes to keep her womb. Your gynaecologist will map the size, number and position of the fibroids with an ultrasound and usually an MRI scan, because those decide whether robotic surgery, another keyhole route or an open operation is the right one.
Does robotic myomectomy work, and how does it compare with laparoscopic surgery?
Yes, myomectomy removes the fibroids that cause symptoms, and most women have lighter periods and less pressure afterwards. Studies comparing robotic and standard laparoscopic myomectomy generally show similar outcomes, with the robot making stitching the uterine wall easier, particularly when fibroids are large, deep or numerous. Some report fewer conversions to open surgery, while operating time and cost are often higher with the robot.
Fibroids can grow back, because the operation removes the existing growths but not the tendency to form new ones; a proportion of women need further treatment later, more commonly when they had many fibroids or are younger. A surgeon should present the robot as a tool that suits some fibroid patterns, not as a guarantee against recurrence.
Who is a good candidate for robotic myomectomy, and who is not?
It suits women with symptomatic fibroids in the muscle wall or on the outer surface of the uterus, whose MRI shows a manageable number and size, and who want to preserve the uterus. Very large or very numerous fibroids, extensive previous abdominal surgery with adhesions or fibroids in unusual positions may mean open surgery is safer. Fibroids that bulge into the uterine cavity are often removed through the cervix, as described under hysteroscopic myomectomy. If a growth looks unusual on imaging, the team will investigate before operating, because rare cancers can mimic fibroids.
Robotic myomectomy cost in Turkey compared with the UK, US and Germany
The figures below are approximate ranges for one operation, not hospital quotes. The price depends on the number and size of fibroids, the surgical team, the nights in hospital and what the package includes. Each hospital confirms its price in a written quote.
| Country | Approximate cost range |
|---|---|
| Turkey | €4,500 – €10,000 |
| United Kingdom | €7,000 – €15,000 |
| United States | €15,000 – €42,000 |
| Germany | €7,000 – €15,000 |
A package normally includes the MRI review, blood tests, the robotic operation, anaesthetist, hospital nights, medication and airport transfers. Ask whether blood products, a second operating surgeon and the pathology report are included, and what happens if the operation has to be converted to open surgery. Our free quote page asks the hospital to list these items in writing.
Robotic, laparoscopic, open or hysteroscopic: which fibroid operation?
The route depends on where the fibroids are and how many there are. All preserve the uterus, so they differ mostly in cuts, recovery and suitability. If you do not want any surgery, ask also about non-surgical choices such as uterine artery embolization and the wider overview under fibroid removal.
| Approach | Best suited to | Typical limits |
|---|---|---|
| Robotic myomectomy | Several or deeper fibroids needing careful stitching | Higher cost; needs a robot-trained surgeon |
| Laparoscopic myomectomy | Fewer, smaller fibroids; see laparoscopic myomectomy | Stitching is harder with large or multiple fibroids |
| Open myomectomy | Very large or very numerous fibroids | Longer recovery, larger scar |
How is the operation done step by step?
You have a general anaesthetic. Gas is used to inflate the abdomen, the ports are placed and the robot is docked. The surgeon injects medicine or uses a temporary band to limit bleeding, opens the uterine wall over each fibroid, removes it and repairs the wall in layers; the aim is a strong scar that supports a future pregnancy. Fibroids are placed in a retrieval bag and removed through an incision, because the US Food and Drug Administration warns against uncontained morcellation after the discovery that an unsuspected cancer could be spread. Operating time is typically two to four hours depending on how many fibroids there are.
Will robotic myomectomy affect fertility and pregnancy?
Many women conceive after myomectomy, especially when fibroids were distorting the cavity. The usual advice is to wait around three to six months so that the uterine scar heals before trying to conceive. After deep fibroid removal that went through much of the muscle, some surgeons recommend a planned caesarean birth to lower the small risk of scar rupture in labour. Tell the team your plans for pregnancy before surgery, because it changes how the fibroids are removed and how many are taken in one operation.
Robotic myomectomy recovery: how long should you stay in Turkey?
Most patients stay in hospital for one or two nights and in Turkey for about five to seven days. Walking begins the day of surgery, and shoulder-tip pain from the gas fades in a day or two.
- Week 1: soreness around the small incisions, tiredness, light bleeding or spotting.
- Weeks 2 to 3: return to desk work if you feel ready; no heavy lifting.
- Weeks 4 to 6: exercise and intercourse resume when the surgeon agrees.
- Month 3 to 6: scar healed; conception may be attempted if advised.
Short flights are usually allowed after the surgeon has checked you, with walking and water on the journey to lower clot risk.
What are the risks and complications?
Common effects are pain, bruising, tiredness and shoulder discomfort. Less common problems include heavier bleeding that may need transfusion, infection, scar tissue (adhesions), injury to the bowel, bladder or ureter, conversion to open surgery and, rarely, hysterectomy if bleeding cannot be controlled. A small risk of scar rupture in later pregnancy is why some women are advised to have a caesarean birth. The NHS and the Royal College of Obstetricians and Gynaecologists provide patient information on fibroid surgery. Ask the surgeon how often they perform robotic myomectomy and how they handle bleeding.
How to choose a hospital and what to ask
Check that a gynaecologist with robotic and fertility-sparing experience will operate, that the hospital is licensed with blood bank, anaesthesia and intensive-care back-up, that your MRI is reviewed before a quote is given and that you receive a written plan before paying a deposit. Red flags include promising a guarantee of pregnancy, a quote without scans, no information on conversion to open surgery and pressure to book quickly. See how our process works for the steps from your scans to surgery.
- Is robotic surgery right for the number and position of my fibroids?
- How many robotic myomectomies has the surgeon performed?
- How are the fibroids removed from the abdomen, and in a bag?
- What is your advice on pregnancy timing and birth afterwards?
- What is included if I need blood or an open operation?
Hospitals with Gynaecology in Turkey
Frequently asked questions
It is keyhole surgery in which a surgeon uses a robotic system through small abdominal cuts to remove uterine fibroids while preserving the womb. The uterine wall is stitched in layers after each fibroid is removed.
It removes the fibroids that cause heavy periods, pressure and pain, and most women improve. Fibroids can regrow later because the operation does not remove the tendency to form them.
Approximate costs are €4,500 to €10,000 in Turkey, against about €7,000 to €15,000 in the UK. The price depends on the number and size of fibroids, hospital nights and the package.
Outcomes are broadly similar. The robot makes stitching easier for large, deep or multiple fibroids, but it costs more and may take longer, so the choice depends on your fibroid pattern.
Most women stay one or two nights in hospital, return to desk work after two to three weeks and resume exercise and intercourse after four to six weeks if the surgeon agrees.
Many women do. Surgeons usually advise waiting three to six months for the uterine scar to heal, and some recommend a caesarean birth after deep fibroid removal.
You are asleep during surgery. Afterwards there is soreness around the small cuts and shoulder-tip pain from the gas, usually controlled with simple painkillers and easing within days.
Yes, new fibroids can grow in some women, especially if there were many or the woman is younger. Follow-up ultrasound helps spot them early.
Very large or numerous fibroids, extensive adhesions or an unusual-looking growth may need open surgery or further tests. Your MRI decides the route.
Plan for about five to seven days, including one or two nights in hospital and a check before you fly. Ask the surgeon about flight timing.
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