My wife has been diagnosed with an intramural fibroid measuring 5.2x6.1x6.4 cm in the anterior myometrial wall at the fundus and body regions, which is indenting the endometrium. She also has small subserosal fibroids measuring 2x1.6 cm along the anterior wall at the fundus. The doctor has recommended a myomectomy through an abdominal incision, but we're wondering if a hysterectomy might be a better option. Is there a significant risk with myomectomy? Her surgical profile is normal, but could you please advise on the best approach and what the recovery time might be?

Considering your wife's fibroid condition, I'll provide a brief overview of the two surgical options:Myomectomy vs. Hysterectomy1. Myomectomy: Removes only the fibroids, preserving the uterus. Suitable for women who want to maintain fertility.2. Hysterectomy: Removes the entire uterus, eliminating the risk of future fibroid growth.Risks Associated with Myomectomy1. _Bleeding and hemorrhage_2. _Infection_3. _Adhesions and scar tissue_4. _Fibroid recurrence_Recovery Time for Myomectomy1. _Hospital stay_: 2-3 days2. _Recovery time_: 4-6 weeks3. _Return to normal activities_: 6-8 weeksConsiderations for Your Wife1. _Age and fertility desires_: If your wife wants to maintain fertility, myomectomy might be a better option.2. _Fibroid size and location_: The size and location of the fibroids may impact the complexity of the surgery.3. _Overall health_: Since your wife's surgical profile is normal, she may be a good candidate for myomectomy.