What are the risks of getting a hysterectomy?

Hysterectomies are most often done for the following reasons: Uterine fibroids — common, benign (noncancerous) tumors that grow in the muscle of the uterus. More hysterectomies are done because of fibroids than any other problem of the uterus. Sometimes fibroids cause heavy bleeding or pain.

A hysterectomy is a surgical procedure to remove a woman’s uterus. In most cases, the entire uterus is removed. The doctor may also remove the ovaries and the fallopian tubes during the procedure. The ovaries are the organs that produce estrogen and other hormones.

There is no cure for endometriosis. Hormone therapy or taking out tissue with laparoscopic surgery can ease pain. But pain often returns within a year or two. Taking out the ovaries (oophorectomy) and the uterus (hysterectomy) usually relieves pain.

A vaginal hysterectomy is surgery to remove the uterus through the vagina. It is a way to take the uterus out through a cut in the vagina instead of a cut in your belly. The ovaries or fallopian tubes (other female organs) may also be removed when the uterus is removed.

A total hysterectomy is the removal of the uterus and cervix. A total hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes (salpingo) and ovaries (oophor). A radical hysterectomy may be performed to treat cervical or uterine cancer.

This surgery removes the uterus (both the body of the uterus and the cervix) but not the structures next to the uterus (parametria and uterosacral ligaments). The vagina and pelvic lymph nodes are not removed. The ovaries and fallopian tubes are usually left in place unless there is another reason to remove them.

Because your uterus is removed, you no longer have periods and cannot get pregnant. But your ovaries might still make hormones, so you might not have other signs of menopause. You may have hot flashes, a symptom of menopause, because the surgery may have blocked blood flow to the ovaries.

A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the belly button and a tiny camera is inserted. Two or three other tiny incisions are made in the lower abdomen. Specialized instruments are inserted and used for the removal process.

You can likely go home the next day when surgery is done through the vagina using a laparoscope or after robotic surgery. When a larger surgical cut (incision) in the abdomen is made, you may need to stay in the hospital 1 to 2 days. You may need to stay longer if the hysterectomy is done because of cancer.

on average, an abdominal or vaginal hysterectomy takes about 60-90 minutes. Laparoscopic hysterectomy usually takes longer – about 70-110 minutes. the duration of surgery, however, does not affect the post-operative recovery.

While most women don’t have health problems during or after the surgery, risks may include:

Injury to nearby organs.

Anesthesia problems, such as breathing or heart problems.

Blood clots in the legs or lungs.

Infection.

Heavy bleeding.

Early menopause, if the ovaries are removed.

Pain during sexual intercourse.

If the ovaries are removed (oophorectomy) at the time of hysterectomy, this is referred to as a surgical (or induced) menopause, and menopausal symptoms will begin immediately after the procedure. If one or both ovaries are left intact and only the uterus is removed, the ovaries are still capable of hormone production.

Long-term effects of hysterectomy: a focus on the aging patient

Hysterectomy.

Hysterectomy & pelvic floor disorders.

Pelvic organ prolapse.

Urinary incontinence.

Bowel dysfunction.

Fistula disease.

Sexual function.

Cardiovascular disease.

Your recovery time at home — before you can get back to all your regular activities — will vary depending on the procedure you had. Abdominal hysterectomy. Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home.

Risks associated with an abdominal hysterectomy include:

Blood clots.

Infection.

Excessive bleeding.

Adverse reaction to anesthesia.

Damage to your urinary tract, bladder, rectum or other pelvic structures during surgery, which may require further surgical repair.

Earlier onset of menopause even if the ovaries aren’t removed.

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The most common reasons for having a hysterectomy include:

heavy periods – which can be caused by fibroids, for example.

pelvic pain – which may be caused by endometriosis, unsuccessfully treated pelvic inflammatory disease (PID), adenomyosis or fibroids.

prolapse of the uterus.

cancer of the womb, ovaries or cervix.

A woman may have a hysterectomy for different reasons, including: Uterine fibroids that cause pain, bleeding, or other problems. Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal. Cancer of the uterus, cervix, or ovaries.

The standard abdominal hysterectomy is major surgery with a big belly incision, and a slow, painful recovery. Approximate recovery time: Six weeks. The vaginal hysterectomy can be done entirely through the vagina, or using a laparoscope (the laparoscopic-assisted vaginal hysterectomy, or LAVH).

A partial hysterectomy (top left) removes just the uterus, and the cervix is left intact. A total hysterectomy (top right) removes the uterus and cervix. At the time of a total hysterectomy, your surgeon may also remove the ovaries and fallopian tubes (bottom).

Originally posted 2022-03-31 02:09:20.