This is the surgical removal of the uterus. Usually done when all other suitable treatment options have been trialled with no success.

Reasons for a Hysterectomy

  • Heavy menstrual bleeding
  • Fibroids
  • Prolapse of the uterus
  • Endometriosis
  • Cancer of the cervix or ovaries

Types of Hysterectomy

  • Total Hysterectomy: Removal of uterus, cervix, fallopian tubes
  • Total Hysterectomy + Bilateral Salpingo-oophorectomy: Removal of uterus, cervix, fallopian tubes and ovaries
  • Subtotal Hysterectomy: Removal of uterus but keeping the cervix in place. Depending on the woman’s case, the ovaries may or may not be removed
  • Radical Hysterectomy: Removal of the uterus, cervix, top portion of the vagina and the tissues surrounding the cervix. Fallopian tubes, ovaries and pelvic lymph nodes may or may not be removed depending on the woman’s condition

Surgical Techniques

  • Abdominal: This is done by performing an incision on the abdomen which can be 10-20 cm long. Indications: extensive surgery, large fibroids, extensive scar tissue or adhesions
  • Laparoscopic: Commonly known as keyhole surgery, this is performed by inserting a laparoscope in the small incisions on your abdomen. The uterus can be removed either through the vagina or the keyhole.
  • Vaginal Hysterectomy: The surgery is done through the vagina and mostly done if a woman has a prolapsed uterus.

Possible Complications

  • Infection
  • Injury to surrounding organs
  • Bleeding
  • Thrombosis and embolism
  • Hernia