Frequently Asked Questions
What is Hysterectomy?
Hysterectomy is a medical procedure where the whole uterus [womb] or part of the uterus is removed surgically. In some conditions, the top part of the vagina or ovaries or fallopian tubes or tissues on the sides of the uterus may also be removed by the doctor.
Hysterectomy is mainly of four types and they are:
- Total hysterectomy
- Total hysterectomy with bilateral salpingo-oophorectomy
- Radical hysterectomy
- Subtotal hysterectomy
Hysterectomy can be performed in three different ways:
- Laparoscopic hysterectomy
- Vaginal hysterectomy
- Abdominal hysterectomy
Who can perform this?
Hysterectomy can be performed by:
- Any MD [Doctor of medicine] with several years of experience in hysterectomy.
- An experienced Gynaecologist with extra training in hysterectomy surgery.
What is the cost of Hysterectomy in Hyderabad?
The cost of Hysterectomy may depend on the following:
- Admission fee
- Doctor fee
- Age of the patient
- The type of surgery planned to be performed
- Type of hospital
- The health condition of the patient
- The room that you opted for
The minimum cost for Hysterectomy in Hyderabad may be Rs.45,000.
An average cost for Hysterectomy in Hyderabad may be Rs.82,581.
The maximum cost for Hysterectomy in Hyderabad may be Rs.134,132.
What are the benefits of Hysterectomy?
The following are the benefits of Hysterectomy:
- Hysterectomy can improve the quality of life.
- It treats the uterine prolapse and other health conditions such as uterine fibroids.
- Hysterectomy reduces abnormal bleeding and pain.
- It treats severe pelvic inflammatory disease [PID].
- Hysterectomy prevents cervix, ovarian and uterine cancer.
Why Hysterectomy is indicated?
Hysterectomy may be indicated in the following conditions:
- Uterine fibroids
- Uterine prolapse
- Uterine cancer
- Chronic pelvic pain
- Persistent vaginal bleeding
- Cervix or ovaries cancer
- Endometriosis even after surgery or medical treatment
What are the preparation steps for Hysterectomy?
Before surgery, your doctor may do the following tests and they are
- Blood and urine tests
- Ultrasound of pelvic
- MRI scan
- X-ray of kidneys and abdomen
- CT scan
- D & C test [Dilation and Curettage test]
The following are the preparation steps for Hysterectomy:
- Eat a light meal before the night of surgery.
- Avoid smoking or drinking before surgery.
- Inform the doctor about past and present medical conditions.
- Stop taking medications a week before the surgery or as instructed by the doctor.
- The patient may be advised to take enemas to clean the intestine.
- The patient should ask the doctor regarding all the risks, complications, and benefits of having a hysterectomy.
Write the steps involved in Hysterectomy?
The following are the steps involved in Hysterectomy:
- An incision is made in the lower abdomen region.
- The next step involves cutting the tissue and blood vessel will be tied off to avoid blood loss.
- Later, the uterus is removed and if the patient is suffering from uterine cancer or cervix cancer, then the ovaries, fallopian tubes, cervix, surroundings tissues, and lymph glands may also be removed.
- After removing the uterus or other parts, the abdominal wall will be stitched back together.
- Then the incision is closed with the help of either stitches or staples.
- If the cervix is also removed, then the stitches will be kept on the top of the vagina.
- In a vaginal hysterectomy, no incisions are involved.
- The vagina is stretched and will be kept open with the help of surgical instruments.
- Then the blood vessels which are collected will be tied off.
- Later, the uterus and cervix will be removed by the surgeon.
- After removal of the uterus and cervix, sutures are made on top of the vagina.
[NOTE: With each procedure, sterile gauze [vaginal packaging] is placed in the vagina and will be removed after 1-2 days of surgery.]
What is the post-procedure care for Hysterectomy?
The following are the post-care steps for Hysterectomy:
- Walk for a short distance on the same day of the Surgery.
- The patient may have to wear special boots to prevent blood clots in the legs.
- To urinate well, the patient may have a catheter in the bladder.
- IV will be removed if the patient is eating or drinking well enough.
After discharge from the hospital, the patient will be provided with some instructions by the doctor and they are:
- Take rest and avoid heavy lifting for at least 2 weeks.
- If there is severe pain, then consume pain killers which are prescribed by the doctor.
- Duration of rest will be provided
- Do not have sex for at least 6 weeks.
If you suffer from any of the following symptoms, make a call to your doctor for further instructions:
- Infection with fever and chills
- Redness, swelling, any discharge from the site of infection
- Vomiting or nausea that is not controlled by medications
- Shortness of breath
- Heavy bleeding
- Pain during urination
- Swelling and redness in the leg
What is the recovery time?
Recovery time may vary from one type of hysterectomy to another type of hysterectomy.
- A vaginal hysterectomy takes about 3 to 4 weeks of a recovery period.
- An abdominal hysterectomy takes 6-8 weeks of recovery time.
Minimum and maximum age required for Hysterectomy?
Women with age of 18-35 years can go for Hysterectomy. Mostly, girls with a severe health condition that affects the reproductive system such as ovarian cancer, and fibroid, etc. can undergo this procedure. So, technically there is no age limit.
Is Hysterectomy a major surgery or minor surgery?
Hysterectomy is a major surgical method as it requires longer recovery time and after this surgery, you will no longer have menstrual periods and cannot become pregnant.
What is the eligibility criteria for Hysterectomy?
- Women whose age is above 18 years.
- Women with a certain size of the uterus are eligible for vaginal hysterectomy.
- Women suffering from ovarian cancer, cervix cancer, and uterus cancer, etc.
- Women who want to decrease the chance of developing ovarian cancer.
What is the ineligibility criteria for Hysterectomy?
- Women whose age is below 18 years old.
- Women who want to conceive.
- Women who don't want to lose the uterus.
- If the medical treatment works in improving the conditions like fibroids, and endometriosis, etc. in women, then they are not eligible.
- Women with a weak health condition and poor immune system.
What are the risks and complications associated with Hysterectomy?
The following are the risks involved in Hysterectomy:
- Severe infection
- Blood clots
- Severe pain
- Vaginal prolapse may occur
- Urinary tract infection
- Tissue or nerve damage
- Breathing or heart problems that are related to anesthesia
- Damage to surrounding organs like bladder or rectum
How long does it take to complete Hysterectomy?
Typically, Hysterectomy takes 1-3 hours to complete the procedure.
What is the success rate of Hysterectomy?
The success rate of hysterectomy depends on the following factors:
- Age of women
- The health condition of the patient
- Type of hysterectomy performed by the surgeon
Generally, the success rate of hysterectomy is 92.1% to 96%.
Is Hysterectomy painful?
During the surgery, anesthesia is given to you and hence there will be no pain. However, after completion of the surgery or during the recovery time, you may suffer from mild to moderate pain for up to a week. In such cases, if the pain is severe, some pain killers or pain medications will be given to you by your doctor.
Is Hysterectomy Permanent?
After undergoing any type of Hysterectomy, you will be no longer have your periods and cannot get pregnant or cannot conceive. These are lifelong or permanent effects.
What are the long-term results of Hysterectomy?
- Reduced sexual drive
- May cause depression as they have lost the uterus and not able to give birth
- Hormonal imbalance
- Pain during sex
- Dryness of the vagina
- Organ prolapse may occur
Can Hysterectomy be detected in the future?
Hysterectomy is done by either vaginal or abdominal. So, if hysterectomy is done by abdominal, then there may be a presence of scars over the lower abdominal area. However, hysterectomy can be detected in the future by any doctor who examines your reproductive organs or can be detected through scanning.
What are the options if Hysterectomy is not successful?
The following are the options if Hysterectomy is not successful:
- Ultrasound guidance with a trans-abdominal probe
- Dilating the cervix with vaginal misoprostol
- Hygroscopic dilation
- Using mechanical dilators like Sims sounds and Hegar dilators
What will be the alternatives for Hysterectomy?
The following are the alternatives for Hysterectomy:
- Medical treatment by NSAIDs, oral contraceptives, etc.
- Hormone therapy
- Endometrial ablation
- Uterine artery embolization
- Focused ultrasound surgery
- Pessary placement