Hysterectomy is a major gynaecological operation in which a patient’s uterus is partially or completely removed. Many diseases can give reason for complete or partial hysterectomy. Most often, in the case of myomas, malignancies, prolapsed uterus, bleeding disorder unresponsive to medication, endometriosis, or pelvic inflammatory disease, your doctor may recommend this procedure.
The surgery is preceded by a thorough gynaecological and ultrasound examination, based on which the specialist determines that abdominal, vaginal or laparoscopic hysterectomy is the appropriate intervention. In some cases, partial hysterectomy is possible, during which the cervix is not removed. In case of patients in perimenopause, removal of adnexa uteri (ovaries and fallopian tubes) is considered.
After hysterectomy, neither menstruation nor pregnancy will not occur. If both sides of the ovaries are removed during surgery, the patient may experience hormone loss symptoms before menopause. The symptoms can be easily eliminated with the help of hormone replacement drugs.
Uterine removal can be done through the vagina, by incising the abdominal wall, or during laparoscopy.