Obstetrics & Gynecology
What is a hysterectomy?
A hysterectomy is the surgical removal of the uterus, and most likely, the cervix. Depending on the reason for the surgery, a hysterectomy may involve removing surrounding organs and tissues, such as the fallopian tubes and ovaries. The uterus is where a baby grows during pregnancy. Its lining is the blood you shed during your menstrual period. You lose the ability to get pregnant and you will not get your period after a hysterectomy.
What are the different kinds of hysterectomy?
Your Health Service provider will contact the Sanita Group Gynecology doctor to discuss which type of hysterectomy is needed depending on your condition (needed treatment procedure) . This will determine if your fallopian tubes and/or ovaries need to be removed.
Total hysterectomy: Removing the uterus and cervix, but leaving the ovaries.
Supracervical hysterectomy: Removing just the upper part of the uterus while leaving the cervix.
Total hysterectomy with bilateral salpingo-oophorectomy: Removing the uterus, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy). If you haven’t experienced menopause, removing the ovaries will start menopausal symptoms.
Radical hysterectomy with bilateral salpingo-oophorectomy: The removal of the uterus, cervix, fallopian tubes, ovaries, the upper portion of the vagina and some surrounding tissue and lymph nodes. This type of hysterectomy is performed when cancer is involved.
Why is a hysterectomy performed?
Healthcare providers perform hysterectomies to treat:
• Abnormal or heavy vaginal bleeding that is not controlled by other treatment methods.
• Severe pain with menses that is not controlled by other treatment methods
• Leiomyomas or uterine fibroids (noncancerous tumors).
• Increased pelvic pain related to the uterus but not controlled by other treatments.
• Uterine prolapse (uterus that has “dropped” into the vaginal canal due to weakened support muscles) can lead to urinary incontinence or difficulty with bowel movements.
• Cervical or uterine cancer or abnormalities that may lead to cancer for cancer prevention.
• Conditions with the lining of your uterus like hyperplasia, recurrent uterine polyps or adenomyosis.
How common is it to get a hysterectomy?
About 3.000,000 women get hysterectomies around the World each year. It’s the second most common surgery performed among women (after Cesarean section).
How do you prepare for a hysterectomy?
Your healthcare provider or Sanita Group Gynecology doctor will explain the procedure in detail, including possible complications and side effects. Talk to them about any concerns you have. You may be asked to provide blood and urine samples. (pls look into pre op needed steps for treatment)
What happens during a hysterectomy?
Our Gynecology doctor will determine the type of hysterectomy you need and the best surgical method to perform that procedure. You will change into a hospital gown and get hooked up to monitors that track your heart rate. An intravenous (IV) line is placed in a vein in your arm to deliver medications and fluids.
An anesthesiologist will give you either:
General anesthesia in which you will not be awake during the procedure; or Regional anesthesia (also called epidural or spinal anesthesia) in which medications are placed near the nerves in your lower back to “block” pain while you stay awake.
Your uterus is removed through an incision at the top of your vagina. There is no external incision.
Dissolvable stitches are placed inside the vagina.
Most commonly used in cases of uterine prolapse and other non-malignant (or noncancerous) conditions.
Fewest complications and fastest recovery (up to four weeks) and is considered the preferred approach. Patients often go home the same day of surgery.
A laparoscope (a thin tube with a video camera on the end) is inserted in the lower abdomen through a small incision in the belly button. Surgical tools are inserted through several other small incisions. Your uterus can be removed in small pieces through the incisions in your abdomen or through your vagina.
Some people go home the same day or after one or two nights in the hospital. Full recovery is shorter and less painful than an abdominal hysterectomy.
Our surgeon performs the procedure with the help of a robotic machine. A laparoscope is inserted in the abdomen so the pelvic area can be viewed.
Small, thin surgical tools are inserted through three to five incisions around the belly button. Robotic arms and instruments are controlled by the surgeon. The recovery is similar to a laparoscopic hysterectomy.
Your uterus is removed through a six- to eight-inch-long incision in your abdomen. The incision is made either from your belly button to your pubic bone, or across the top of your public hairline. Our surgeon will use stitches or staples to close the incision.
Most commonly used when cancer is involved, when the uterus is enlarged or when disease spreads to other pelvic areas. It generally requires a longer hospital stay (two or three days) and a longer recovery time.
Urogynecology is a subspecialty of gynecology that focuses on the diagnosis and treatment of pelvic floor disorders in women. These disorders can include urinary incontinence, pelvic organ prolapse, and other conditions related to the muscles, ligaments, and connective tissues in the pelvic region.
Vaginal tightening, also known as vaginal rejuvenation or vaginoplasty, is a surgical procedure designed to tighten the vaginal muscles and tissues. It is often performed to address issues like vaginal laxity, which can result from childbirth or aging.
Genital aesthetics or cosmetic gynecology involves surgical or non-surgical procedures aimed at improving the appearance and function of the female genitalia. These procedures may include labiaplasty (reshaping of the labia), clitoral hood reduction, and other aesthetic modifications.
Vaginoplasty is a surgical procedure that involves reconstructing or reshaping the vagina. It can be done for functional reasons, such as repairing vaginal defects or congenital abnormalities, or for cosmetic purposes to alter the vaginal appearance.
This refers to surgical procedures performed to treat urinary incontinence, a condition where a person experiences involuntary leakage of urine. There are different surgical techniques available to address this issue, depending on the type and severity of incontinence
Tubal ligation, also known as female sterilization or “having your tubes tied,” is a permanent birth control procedure. During the surgery, the fallopian tubes are blocked or severed to prevent the eggs from reaching the uterus, thereby preventing pregnancy.
