to view an animated version of this procedure.
Hysterectomy is the surgical term for the removal of the uterus (womb). This results in the inability to become pregnant.
There are different types of surgeries, such as: Supracervical hysterectomy—removal of the uterus onlyTotal hysterectomy—removal of the uterus and cervix (the opening of the uterus leading to the vagina)Radical hysterectomy—removal of the uterus, ovaries, fallopian tubes, upper part of the vagina, and the pelvic lymph nodesSalpingo-oophorectomy
—removal of the ovaries and fallopian tubes (may be combined with any of the above procedures)
You may have a hysterectomy if your uterus is causing health problems that cannot be treated by other means. Some reasons a woman may have a hysterectomy are to:
Treat cancers (eg,
uterine fibroidsTreat chronic pelvic painTreat heavy bleeding
Explore your options before having a hysterectomy. There are other treatments for many of these problems.
If you are planning to have hysterectomy, your doctor will review a list of possible complications, which may include: Reactions to anesthesiaPainInfectionBleedingFatigueInjured pelvic organs (bowel and/or bladder)Urinary incontinence
(problems controlling your urine)
Loss of ovarian function and early
Some factors that may increase the risk of complications include: ObesitySmokingHeart or lung diseaseDiabetesPrevious pelvic surgery or serious infectionUse of medicines during the past month
Discuss the risks with your doctor before surgery.
Your doctor may do the following: Blood and urine testsPap smearX-ray
of abdomen and kidneys—a test that uses radiation to take a picture of structures inside the body
—a test that uses sound waves to show organs in the abdomen
Dilation and curettage
(D&C)—surgical removal of tissue from the lining of the uterus
You should do the following:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
or other anti-inflammatory drugs
Blood thinners, such as
Arrange for a ride home and for help at home.Eat a light meal the night before the surgery. Do not eat or drink anything after midnight.
will be used. You will be asleep during the surgery.
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You may be given antibiotics just before your surgery.
Laparoscopic procedures are minimally invasive. This means that small incisions are made, rather than the large incisions that are used during open surgery.
During this procedure, the doctor will make small incisions in the area of your navel and hip bone. A laparoscope (a small tool with a camera on one end) will be inserted through one of the incisions. The tool will allow the doctor to view your pelvic organs on a monitor. Other tools will also be inserted to do the surgery. Next, the doctor will detach the uterus from the cervix. A tool will be used to break down the uterus into smaller pieces. The doctor will then remove this tissue through the small incisions.
Similar to the above surgery, the doctor will make small incisions in the abdominal area and insert tools. The doctor will then make an incision in the vagina to help detach the lower portion of the cervix and the uterus. The cervix and uterus will then be removed through the vaginal opening.
A hysterectomy can also be done using robotic technology. Like the laparoscopic procedures, tools are placed through small incisions in the abdominal area. The doctor, though, sits at a console and views the organs via a monitor that displays a 3D image. The surgery is done using a joystick-like device to control the tools.
You will be given IV fluids and medicines.
You will not have pain during the surgery because of the anesthesia. During your recovery time, your doctor will give you pain medicine.
You may be able to leave the hospital on the same day or the next day. You will stay longer if you have complications.
While you are recovering at the hospital, you may receive the following care: On the first night, the nurse will help you sit up and walk.During the next morning, the IV will be removed if you are eating and drinking well.You may need to wear special stockings or boots to help prevent blood clots.You may have a Foley catheter for a short time to help you urinate.
During the first few days, you may have pain, bloating, vaginal bleeding, and vaginal discharge.
When at home, take these steps to care for yourself: To prevent infection, take proper care of the incision areas.Slowly increase your activities. Begin with light chores and short walks.During the first two weeks, rest and avoid strenuous activities, like heavy lifting.Ask your doctor when it is safe for you to return to work and drive.Ask your doctor when you will be able to shower, bathe, or soak in water.
Eat a diet rich in
fruits and vegetables
Pain medicines can cause
. To avoid constipation:
Drink plenty of water.Use stool softeners if needed.Ask your doctor when you can use tampons.Wait six weeks before resuming sexual activity.
Ask your doctor if you should do
to strengthen the pelvic floor muscles.
Follow your doctor's
If the doctor has not removed your cervix, you will need to continue to have
to check for cervical cancer.
After you leave the hospital, contact your doctor if any of the following occurs: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, leakage, or any discharge from the incision sitesNausea and/or vomitingDizziness or faintingCough, shortness of breath, or chest painHeavy bleedingPain that you cannot control with the medicines you have been givenPain, burning, urgency or frequency of urination, or persistent bleeding in the urineSwelling, redness, or pain in your leg
In case of an emergency, call for medical help right away.
Last reviewed March 2013 by Andrea Chisholm
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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