AST Surgical Technologist Practice Exam

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What procedure is typically scheduled for a patient undergoing surgical treatment of uterine fibroids?

Hysterectomy
Myomectomy
Endometrial ablation
Oophorectomy

The correct answer is: Myomectomy

The answer is myomectomy, as this procedure specifically addresses the removal of uterine fibroids while preserving the uterus. Myomectomy is often chosen for patients who wish to maintain their fertility or avoid a complete hysterectomy. During this procedure, the fibroids are excised from the muscular wall of the uterus, which can alleviate symptoms such as heavy menstrual bleeding, pelvic pain, and pressure. Hysterectomy, which involves the complete removal of the uterus, is another treatment option for fibroids but is more definitive and would generally be selected based on different clinical indications, especially if reproductive capability is not a concern. Endometrial ablation is aimed at removing or destroying the endometrial lining to treat heavy menstrual bleeding but does not specifically involve fibroid removal. Oophorectomy, the surgical removal of one or both ovaries, is unrelated to the treatment of uterine fibroids and more focused on ovarian issues or related pathologies. In summary, myomectomy is the most appropriate procedure for addressing uterine fibroids specifically, particularly for patients wishing to retain their uterus.