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Vaginal Hysterectomy

This webpage will give you information about a hysterectomy. If you have any questions, you should ask your GP or relevant health professional.

What is a hysterectomy?

Female reproductive organsA hysterectomy is an operation to remove the uterus. It is possible to remove the ovaries if you have a vaginal hysterectomy but they will more than likely be left alone (see figure 1).

 

The common reasons for having a vaginal hysterectomy include uterine prolapse, heavy periods and fibroids.

 

Figure 1 -  Female reproductive organs

What are the benefits of surgery?

A hysterectomy may cure or improve your symptoms. You will no longer have periods.

Are there any alternatives to surgery?

Symptoms of a uterine prolapse may be improved by doing pelvic floor exercises.

 

Heavy periods can be treated using oral medications, a hormonal coil in the uterus, or by removing only the lining of the womb.

 

Depending on the size and position of fibroids, medication can be taken to try to control the symptoms. Surgery to remove the fibroids and save the rest of the womb is an alternative for women who still want children.

What does the operation involve?

A vaginal hysterectomy is usually performed under a general anaesthetic. It usually takes about 45 minutes.

 

Your surgeon will make a cut around the cervix at the top of the vagina so they can remove your womb and cervix.

Usually they will stitch the support ligaments of your womb to the top of your vagina to reduce the risk of a future prolapse.

What complications can happen?

1 General complications of any operation

  • Pain
  • Sickness or feeling sick
  • Bleeding
  • Infection
  • Blood clots

2 Specific complications of this operation

  • Damage to internal organs
  • Conversion to an abdominal hysterectomy
  • Developing a haematoma

Long-term problems

  • Prolapse
  • Continued pain
  • Adhesions
  • Menopause, even if your ovaries are not removed

How soon will I recover?

You will be able to go home after three to four days. For the first two weeks at home you should rest and continue to do the exercises that you were shown in hospital. You can usually go back to work after six to eight weeks. After three months you should be feeling more or less back to normal.

Summary

A hysterectomy is a major operation usually recommended after simpler treatments have failed.

Acknowledgements

Author: Mr Jeremy Hawe MBChB MRCOG

 

Illustrations: LifeART image copyright 2006 Lippincott Williams & Wilkins. All rights reserved.

 

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

 

Copyright © 2008 EIDO Healthcare Limited

 

The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by Ramsay Health Care UK.

 

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited.

 

You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.

 

The information should not replace advice that your relevant health professional would give you.

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