Hysterectomy with Bilateral Salpingo-Oophorectomy: Procedure & Side Effects

Contents


Hysterectomy Procedures: Types, Costs, & Risks

Types of Hysterectomy

Supracervical/Partial Hysterectomy: Procedure & Side Effects

Total Hysterectomy Procedure: Side-effects & Recovery Time

Radical Hysterectomy: Procedure, Side Effects, & Cost

Hysterectomy with Bilateral Salpingo-Oophorectomy: Procedure & Side Effects


Methods/Techniques of Hysterectomy

Abdominal Hysterectomy: Procedure & Complications

Vaginal Hysterectomy: Procedure & Complications

Laparoscopy-Assisted Vaginal Hysterectomy: Meaning & Side Effects

Laparoscopic Supracervical Hysterectomy: Procedure & Side Effects


Related Topic

Endometriosis: Symptoms, and Treatment



What is Hysterectomy with bilateral salpingo-oophorectomy? 

Hysterectomy with bilateral salpingo-oophorectomy procedure includes the removal of the uterus, cervix, fallopian tubes, and ovaries. It is commonly performed to treat endometrial cancer. This procedure can be partially performed with the aid of a laparoscope. 

Different surgical techniques or methods can be used to perform a hysterectomy with bilateral salpingo-oophorectomy, such as:

Depending on the patient’s condition, the particular city in India in which the surgery is being performed, the facilities available in the hospital, and the method of hysterectomy, the cost of radical hysterectomy can range between Rs. 25,000 to Rs. 2,30,000.

Laparoscopic hysterectomies are significantly costlier than abdominal hysterectomy. 

How is hysterectomy with bilateral salpingo-oophorectomy performed?

The following steps are involved in the hysterectomy with bilateral salpingo-oophorectomy procedure:

1.At the outset, general anesthesia is administered by an anesthetist to keep you asleep and free from pain during surgery. It is administered through an IV inserted into your vein. Either a mask is strapped to your nose and mouth or a tube is inserted into your throat to enable you to breathe easily. The tube may cause you to have a sore throat when you wake up.

2.The next step involves the surgeon making an incision. The location and type of incision depend on the method or type of hysterectomy being performed i.e.:

o  Abdominal Hysterectomy

o  Vaginal Hysterectomy

o  Laparoscope-Assisted Vaginal Hysterectomy

3.Using surgical instruments, the surgeon then separates the uterus, cervix, fallopian tubes, and ovaries from the ligaments that hold them in place and removes them through the incision.

4.The surgeon then sutures the incision. Bandages soaked with medicines may also be placed on your vaginal area.

Am I eligible for hysterectomy with bilateral salpingo-oophorectomy?

You are eligible for hysterectomy with bilateral salpingo-oophorectomy if you suffer from: 

  • Cancerous tumor within the uterus
  • Large fibroid
  • Chronic and excessive bleeding (menorrhagia)
  • Uterine prolapse
  • Endometriosis
  • Adenomyosis (thickening of the uterus)
  • Chronic uterine infection
  • Severe pain associated with menopause

Please Note: Eligibility criteria for various medical procedures differs from patient to patient and depends on their general health, medical history, and medical conditions. Please consult a doctor to know more about your eligibility or ineligibility for any medical procedure. 

What risks will I face while undergoing the hysterectomy with bilateral salpingo-oophorectomy procedure?

The risks of undergoing hysterectomy with bilateral salpingo-oophorectomy include:

  • Pain
  • Infections occur in 10% of the patients.
  • Anesthesia-related problems such as rapid breathing
  • Fatigue
  • Headaches
  • Hair loss
  • Palpitations
  • Hot flashes
  • Insomnia
  • Joint pain
  • Palpitations
  • Risks are higher in women who are obese or who have diabetes or high blood pressure.

What are the disadvantages of hysterectomy with bilateral salpingo-oophorectomy? 

The disadvantages of hysterectomy with bilateral salpingo-oophorectomy include:

  • This procedure consumes more time compared to other hysterectomy procedures, however, less time than a total hysterectomy.
  • If the doctor performing the surgery is not well experienced there is a risk of injury such as intestinal injury, urinary tract injury, ureteral injury, etc.

What are the complications of hysterectomy with bilateral salpingo-oophorectomy? 

The complications of hysterectomy with bilateral salpingo-oophorectomy hysterectomy include:

  • Injury to nearby organs.
  • Blood clots in the legs or lungs.
  • Heavy bleeding may occur in some patients
  • Pain during sexual intercourse.
  • Loss of sexual desire (conversely some women experience a drastic improvement in their sex life)
  • Vaginal dryness
  • Weight gain

What are the side effects of undergoing a hysterectomy with bilateral salpingo-oophorectomy?

The side-effects of undergoing hysterectomy with bilateral salpingo-oophorectomy may include:

  • Injury to nearby organs.
  • Blood clots in the legs or lungs.
  • Heavy bleeding may occur in some patients
  • Pain during sexual intercourse.
  • Loss of sexual desire (conversely some women experience a drastic improvement in their sex life)
  • Vaginal dryness
  • Weight gain
  • Inadvertently created fistula during surgery, which can cause urinary incontinence or urinary leakage
  • Stress urinary incontinence

How will I benefit after undergoing a hysterectomy with bilateral salpingo-oophorectomy procedure?

The benefits of a hysterectomy with bilateral salpingo-oophorectomy include: 

  • Eases abnormal bleeding
  • Treats urinary prolapse
  • Prevents the possibility of uterine cancer
  • Provides relief from endometriosis and all the related symptoms
  • Provides relief from uterine fibroids and all the related symptoms

What are the pre-procedure guidelines I should follow for hysterectomy with bilateral salpingo-oophorectomy? 

Preparation for hysterectomy with bilateral salpingo-oophorectomy typically involves several steps:

  • Physical examination to determine the overall health condition
  • Pelvic exam
  • Blood and urine tests
  • Complete medical history discussion with your surgeon
  • You will be advised to quit smoking, if you smoke, for at least 6 weeks prior to the surgery since smoking can cause problems during the operation and can also delay the healing process
  • You may be advised to not drink and eat anything at least 12 hours prior to the procedure.
  • Your doctor may prescribe an enema or a laxative to empty your bowels thoroughly before the surgery
  • The doctor may prescribe some medicines prior to the surgery, which can reduce the risk of heavy bleeding during the surgery
  • A discussion with your anesthetist regarding the anesthesia to be administered to you and its effects.

What are post-operative guidelines I need to follow after undergoing a partial hysterectomy with bilateral salpingo-oophorectomy?

Some of the post-operative guidelines following a hysterectomy with bilateral salpingo-oophorectomy are:

  • Overnight stay in the hospital for 1 to 2 days. You will be monitored for discomfort and given medications to prevent pain and infection.
  • Post the surgery you should avoid lifting heavy weights or any form of strenuous physical activity for at least upto 6 weeks.
  • You need to avoid tub baths for at least 6 weeks after the surgery.
  • You may have to take a liquid diet temporarily.
  • A catheter will be placed to allow the urine to drain. It will be removed the day after surgery.
  • Your incision may be covered with either surgical dressing or glue.
  • You may need to use sanitary napkins if vaginal bleeding occurs after a hysterectomy procedure and last for a few weeks.
  • After any surgery, constipation is a common problem due to the number of medicines and inactivity. Eating fruits and vegetables rich in fiber and drinking extra fluids may help you avoid constipation. And if that is not helpful or constipation worsens, the doctor may prescribe a stool softener or a laxative.

What is the recovery period after undergoing a hysterectomy with bilateral salpingo-oophorectomy procedure? 

The recovery period from a hysterectomy with bilateral salpingo-oophorectomy hysterectomy procedure, depending on the patient’s condition can be anywhere between six to eight weeks.

Are the results of hysterectomy with bilateral salpingo-oophorectomy permanent? 

There is no definite answer to this question, as the results of the surgery can vary from person to person. Some people may experience complete relief from their symptoms, while others may suffer from side effects. It will be wise to discuss your complete medical history with the doctor, and also get to know the risks involved for you personally, before taking a decision to undergo the procedure.

How do I know if the hysterectomy with bilateral salpingo-oophorectomy procedure I underwent is a success? 

Here again, the results vary from person to person. Ideally, if you are free from the earlier painful and discomforting symptoms, then quite obviously, the procedure has been a success for you. If you experience side effects after the procedure for prolonged periods, then you may need to consult with your doctor once again to understand the situation and opt for further treatments.

References

1. Parsons L, Pedersen R, Richardson D, Kho K. The prevalence of occult endometrial cancer in women undergoing hysterectomy for benign indications. 2018. Available at: https://www.sciencedirect.com/science/article/pii/S0301211518300733. Accessed February 27, 2018.

2. Lai J, Chen H, Chu K et al. In-hospital complications of bilateral salpingo-oophorectomy at benign hysterectomy. 2018. Available at: https://journals.lww.com/menopausejournal/Abstract/2017/02000/In_hospital_complications_of_bilateral.11.aspx. Accessed February 27, 2018.

3. Nama V, Patel A, Pawade J, Murdoch J. Traumatic Neuroma After Hysterectomy and Bilateral Salpingo-Oophorectomy: A Rare Cause of Post Hysterectomy Pelvic Pain. 2018. Available at: http://www.jmig.org/article/S1553-4650(16)30148-0/fulltext. Accessed February 27, 2018.

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Questions answered by trusted doctors

Verified User
I had a total abdominal hysterectomy 1 month ago today. I have only one ovary inside. During the heat of the moment a few days ago my spouse & I had intercourse & he climaxed inside me. Since then I've been very dry & itchy should I douche?
Dr. Ankush Nandkishor Raut
Obstetrician, Nagpur
Use vaginal wash
Verified User
Its been 20 days of total hysterectomy,but there is a vaginal bleeding even after taking tranexa,is it normal? all the reports are normal, the external as well the internal sutures are fine..what is the reason behind bleeding?
Dr. Neha Goyal
Reproductive Endocrinologist (Infertilty), Ahmedabad
Its mostly infection
Ask your doctor to take swab for culture
Mild bleeding is common due to suture dissolving
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