Hysterectomy (Abdominal / Vaginal)
A hysterectomy is surgery to remove the uterus (womb). This can be done in different ways:
- Abdominal hysterectomy: The uterus is removed through a cut in the lower belly.
- Vaginal hysterectomy: The uterus is removed through a cut in the vagina.
- Laparoscopic or robotic hysterectomy: The uterus is removed using tiny tools and cameras inserted through small cuts in the belly.
In some cases, the surgery may also remove the ovaries and fallopian tubes. This is called a total hysterectomy with salpingo-oophorectomy.
Why might an abdominal hysterectomy be recommended?
- Your uterus is very large.
- The doctor needs to check nearby organs for signs of disease.
- It is the safest option for your specific condition.
Why is a hysterectomy done?
A hysterectomy may be needed to treat certain health problems, including:
- Gynecologic cancer: This includes cancers of the uterus or cervix. Other treatments like chemotherapy or radiation might also be options, depending on the situation.
- Fibroids: These are non-cancerous growths in the uterus that can cause heavy bleeding, pain, or other issues. A hysterectomy offers a permanent solution if other treatments don’t work.
- Endometriosis: This is when tissue like the uterus lining grows outside the uterus, causing pain or other problems. If medications or less invasive surgeries don’t help, a hysterectomy may be recommended.
- Uterine prolapse: When the uterus slips into the vagina due to weak muscles and tissues, causing discomfort or urinary issues.
- Abnormal vaginal bleeding: If periods are very heavy or irregular and other treatments don’t help.
- Chronic pelvic pain: A hysterectomy might be an option if the pain is clearly linked to the uterus and no other treatments work. However, it’s important to explore all other causes of pain first.
