Hysterectomy is a surgical procedure which involves removal of entire uterus of the women. Many women commonly choose hysterectomy as an option to resolve their fibroid conditions after failed medical treatment After hysterectomy menstrual bleeding stops, pelvic pressure stops and new fibroids cannot grow. A woman can no longer become pregnant after hysterectomy.
Conditions Under Which Hysterectomy Is Performed
The common reason for which Hysterectomy is performed is for Uterine Fibroids.
Other common reasons are:
- Abnormal Uterine Bleeding
- Cervical Dysplasia
- Uterine Prolapse
- Chronic Pain
- Vaginal Fistula Formation
- Pelvic Inflammatory Disease
Techniques for hysterectomy-
- Open conventional surgery – it is mainly used in cases large and multiple fibroids of uterus, uterine or cervical cancers and where expertise or facilities for minimal access surgeries are not available. This is usually done by cut ( incision) on the abdominal wall.
- Vaginal hysterectomy- This methods involves performing the entire procedure trans vaginally which commonly used by gynaecologist for small and medium sized uterus.
- Minimal access surgery – laparoscopic/ robotic surgery is commonly preferred method at many hospitals as the entire surgery is performed under visualisation. This give the advantage of early recovery, minimal scars and less pain for patients. Radical hysterectomy of cancers are also performed using this technique.
This procedure is normally performed under general anaesthesia. The procedure lasts for around 1 to 2 hours.
To begin with a urinary catheter is passed through your urethra to empty the bladder. The catheter remains in place during the surgery and for a short time afterwards. The hospitals stay of the patient is usually 1-2 days land patient regains his normal diet in couple of days.
Recovery After Hysterectomy
- You won’t be able to become pregnant.
- You will be relieved from the painful symptoms which made your surgery necessary.
- You may experience early Menopause. This will depend upon what type of surgery you have gone through.
- You need to wait for at least 6 weeks to resume your sexual activity. Chances are that you will be able to maintain a good sex life after the surgery. Some women may also experience more pleasure due to relief from the chronic pain.
- You will have an improved sense of well being and an enhanced quality of life.
It is important for women to ensure that they make their individual decision to have hysterectomy. This decision may be difficult and emotionally disturbing. As this procedure involves removal of uterus women should realise that they can no longer menstruate or conceive. Women should seek advise to ensure all treatment options have been fully considered.
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