The surgeon then removes the uterus, with or without fallopian tubes and ovaries, through the vagina. If the top of the vagina is sutured stitched through keyhole incisions, the operation is called a total laparoscopic hysterectomy. If the gynaecologist stitches the top of the vagina through the vagina, it is called a laparoscopically assisted vaginal hysterectomy.
A vaginal hysterectomy is performed through an incision at the top of the vagina. It is usually performed where there is a uterine prolapse the cervix and uterus come down into the vagina, or protrude out of the vaginal entrance. With good pain relief, recovery may be similar for all forms of the hysterectomy. Although, more care is required regarding the pelvic floor, urination and bowel function after vaginal hysterectomy.
It is important to start pelvic floor and abdominal exercises within the first few weeks after surgery. These exercises strengthen the muscles in your pelvis, and help maintain normal bladder function and vaginal muscle tone.
Your doctor or physiotherapist will let you know how soon you can start these particular exercises. Be guided by your doctor, but general suggestions for the four to six-week post-operative period include:. After hysterectomy, you will no longer need contraception or have menstrual periods.
If your ovaries were removed, you may experience menopause symptoms starting within a few days of your surgery. If you were still having periods before your hysterectomy, your doctor should discuss oestrogen replacement therapy or other options with you.
How long you might need oestrogen replacement therapy will depend on your age. Hysterectomy can be an effective treatment for gynaecological conditions such as fibroids, endometriosis and adenomyosis, though sometimes endometriosis may recur. If you have had a hysterectomy to treat cancer, depending on the stage of the cancer you will need to have regular check-ups to make sure you are cancer free. You may need to have a regular vault smear test — similar to a cervical screening test but involving cells from the top of your vagina instead of the cervix.
If you have had a subtotal hysterectomy uterus removed but cervix retained then you will need to continue having cervical screening. This page has been produced in consultation with and approved by:. Androgen deficiency in women and its treatment is controversial, and more research is needed. An appendectomy is usually carried out on an emergency basis to treat appendicitis. Most people can resume normal activities around three weeks after an arthroscopy. IVF in-vitro-fertilization and ICSI intracytoplasmic sperm injection are assisted reproductive treatment ART procedures in which fertilisation of an egg occurs outside the body.
Bacterial vaginosis BV is caused by an imbalance of the bacteria normally present in the vagina. Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional.
The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances.
The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Skip to main content. Home Surgery. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. When choosing how to treat your fibroids , you need to know the effects of hysterectomy. When fibroid symptoms are painful and disruptive, you want relief. Many women with fibroids consider hysterectomy.
In fact, about , American women get hysterectomies each year. But, many times, a less drastic procedure could have worked instead. Even if your doctor says a hysterectomy if your best treatment choice, there are good reasons to explore other options. You should not choose hysterectomy if:. Uterine fibroid embolization is completed through local anesthesia and is significantly less invasive than a surgery and patients can return to their daily lives much faster than those who have undergone a hysterectomy.
In addition, studies show that approximately 90 percent of women who underwent UFE had significant or complete relief from the symptoms of uterine fibroids. Why is Hysterectomy a Challenging Fibroid Treatment?
The fibroid pieces wash out with the fluid that was used to fill your uterus. This procedure, also known as a laparotomy, is better for large fibroids, but it leaves a bigger scar than the other two types of myomectomy. For this procedure, your surgeon makes a cut in your lower belly and removes your fibroids. Complete recovery takes 2 to 6 weeks. Laparoscopy is used for women who have smaller and fewer fibroids. During laparoscopy, your surgeon makes two small cuts in your belly.
A telescope is inserted into one of the openings to help your doctor see inside your pelvis and around your uterus. A tool is inserted into the other opening to remove your fibroids. Your surgeon may cut your fibroids into small pieces before removing them. In robotic laparoscopy, your surgeon uses robotic arms to perform the procedure. Laparoscopic procedures may require an overnight hospital stay but have a faster recovery than abdominal myomectomy. Hysterectomy removes part or all of your uterus.
The surgeon may leave your ovaries and cervix in place. Then you will continue to produce female hormones. Complete recovery from an abdominal hysterectomy takes 6 to 8 weeks. Recovery from laparoscopic and vaginal hysterectomy is quicker. Hysterectomy is the only surgery that cures uterine fibroids and fully relieves their symptoms.
However, you will no longer be able to have children. It destroys the lining of your uterus. It works best in women who have small fibroids located close to the inside of the uterus. You may get general anesthesia during the procedure.
Or, you may get spinal or epidural anesthesia to numb you from the waist down. During the procedure, the doctor will insert a special instrument into your uterus and burn off your uterine lining using one of these methods:. You can go home on the same day as your procedure. Your recovery time will depend on the type of ablation you had. Endometrial ablation is effective for relieving heavy bleeding from fibroids.
Fibroid surgery and endometrial ablation can help relieve symptoms like heavy bleeding and abdominal pain.
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