The signs/symptoms observed which indicate the requirement of a Myomectomy are - 

• Sharp, sudden abdominal pain
• Heavy menstrual bleeding
• Pain in the lower back
• Constipation
• Trouble in urination

Uterine fibroids or leiomyomas can be diagnosed by abdominal or transvaginal ultrasounds which uses sound waves to form detailed images of the uterus. Routine pelvic examinations can also help detect abnormalities in the uterus. Several imaging tests such as MRI scan help determine the size and location of the fibroids. Hysterosonography uses saline solution to expand the uterine cavity in order to get accurate pictures of the fibroids. Hysteroscopy and Hysterosalpingography are other tests that help diagnose leiomyomas.

• Abdominal Myomectomy is one of the most common methods of removal of uterine fibroids. An incision is made near the abdomen and the leiomyomas are removed. This is effective for the removal of deep as well as large fibroids.
• Laparoscopic Myomectomy is an effective treatment for fibroids as it ensures faster recovery and is a minimally invasive surgery.
• Hysteroscopic Myomectomy is a procedure in which a camera is inserted into the womb to get detailed images of the fibroids and then can easily be operated upon. 

There may be little complications in Myomectomy surgery. There are chances of heavy bleeding during the surgery which may require uterine blood vessels to be blocked and result in anemia. Scar tissue may also develop after surgery due to adhesions tangled around nearby structures. This may lead to blocked fallopian tubes or development of a loop of the intestine. There are rare chances of spreading a cancerous tumor if it is mistaken for a fibroid. There are also possibilities of Urinary tract infection if the fibroids are very close to the bladder. Leiomyomas may also get twisted during the surgery. 

It is essential that the patient engages in no strenuous activity for at least 4 – 6 weeks after the surgery. The doctor may prescribe iron supplements in case of too much blood loss during Myomectomy. There are no dietary issues post myomectomy. It is recommended to walk daily in order to avoid bowel issues.