Frequently Asked Questions
What is Hysterectomy?
Hysterectomy is a medical procedure that involves the surgical removal of the whole uterus [womb] or part of the uterus. In certain conditions, the upper 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:
- Radical hysterectomy
- Total hysterectomy
- Subtotal hysterectomy
- Total hysterectomy with bilateral salpingo-oophorectomy
Hysterectomy can be performed in three different ways:
- Abdominal hysterectomy
- Laparoscopic hysterectomy
- Vaginal hysterectomy
What is the cost of Hysterectomy in Pune?
The cost of Hysterectomy may differ according to the following:
- Type of hospital
- Admission fee
- Doctor fee
- Age of the patient
- The health condition of the patient
- The type of surgery planned to be performed
- The room that you opted for
The minimum cost for Hysterectomy in Pune starts from Rs.45,000
An average cost for Hysterectomy in Pune is approximately Rs.82,581
The maximum cost for Hysterectomy in Pune is up to Rs.1,34,132
Who can perform Hysterectomy?
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 are the indications of Hysterectomy?
Hysterectomy may be indicated in the following conditions:
- Chronic pelvic pain
- Endometriosis even after surgery or medical treatment
- Uterine fibroids
- Cervix or ovaries cancer
- Persistent vaginal bleeding
- Uterine cancer
- Uterine prolapse
What are the benefits of Hysterectomy?
The following are the benefits of Hysterectomy:
- Hysterectomy can improve the quality of life
- It treats severe pelvic inflammatory disease [PID]
- It treats the uterine prolapse and other health conditions such as uterine fibroids
- Hysterectomy prevents cervix, ovarian and uterine cancer
- Hysterectomy reduces abnormal bleeding and pains
What will be the preparation for hysterectomy?
Before surgery, the doctor may prescribe the following tests for the patient:
- D & C test [Dilation and Curettage test]
- MRI scan
- CT scan
- Ultrasound of pelvic
- Blood and urine tests
- X-ray of kidneys and abdomen
Following are the preparation steps for Hysterectomy:
- The patient should know all the risks, complications, and benefits of having a Hysterectomy.
- Avoid taking medications a week before the surgery or as instructed by the doctor.
- Have a light meal on the night of surgery.
- Stop smoking or drinking before surgery.
- Let the doctor know about the medical history and medications.
- The patient may be asked to take enemas to clean the intestines.
How Hysterectomy is performed?
- An incision is made in the lower abdomen region.
- This is followed by cutting the tissue and the 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, cervix, fallopian tubes, surroundings tissues, and lymph glands may also be removed.
- After the removal of the uterus or other parts, the abdominal wall will be sutured together.
- Then the incision is closed with the help of either stitches or staples.
- If the cervix is also removed, then the sutures are made on 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:
- IV will be removed if the patient is eating or drinking well enough.
- The patient will be wearing special boots to prevent blood clots in the legs.
- To urinate well, the patient may have a catheter in the bladder.
- Walk for a short distance on the night of the surgery.
After discharge from the hospital, the patient will be provided with some instructions by the doctor and they are:
- Take ample rest and avoid lifting heavy weights for at least 2 weeks.
- Avoid sex for at least 6 weeks.
- If severe pain is experienced, then take pain killers which were prescribed by the doctor.
- Know from the doctor when to start back the exercises.
If the patient experience the following symptoms, inform the doctor immediately:
- Difficulty in breathing
- Fever and chills
- Heavy bleeding
- Pain while urination
- Redness, swelling, any discharge from the site of infection
- Vomiting or nausea that is not controlled by medications
What is the recovery time?
Recovery time may vary from person to person:
- A vaginal hysterectomy takes about 3 to 4 weeks of a recovery period.
- An abdominal hysterectomy takes 6-8 weeks of recovery time.
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 with a certain size of the uterus are eligible for vaginal hysterectomy.
- Women whose age is above 18 years.
- 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?
- If the medical treatment works in improving the conditions like fibroids, and endometriosis, etc. in women, then they are not eligible.
- Women who want to conceive.
- Women whose age is below 18 years old.
- Women who don't want to lose the uterus.
- 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:
- Blood clots
- Severe pain
- Urinary tract infection
- Severe infection
- Tissue or nerve damage
- Vaginal prolapse may occur
- 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?
Usually, Hysterectomy may take around 1-3 hours to complete.
What is the success rate of Hysterectomy?
The success rate of Hysterectomy depends on the following factors:
- Age of women
- Type of hysterectomy performed by the surgeon
- The health condition of the patient
The success rate of Hysterectomy is 92.1% to 96%.
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
- Depression due to loss of the uterus
- Pain during sex
- Organ prolapse may occur
- Dryness of the vagina
Is Hysterectomy painful?
Every surgery comes with a certain level of pain and discomfort. Anesthesia may be given to numb the area so that the patient can not feel the pain.
Can Hysterectomy be detected in the future?
Hysterectomy may be 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:
- Hygroscopic dilation
- Ultrasound guidance with a trans-abdominal probe
- Dilating the cervix with vaginal misoprostol
- Using mechanical dilators like Sims sounds and Hegar dilator
What will be the alternatives for Hysterectomy?
The following are the alternatives for Hysterectomy:
- Pessary placement
- Focused ultrasound surgery
- Hormone therapy
- Uterine artery embolization
- Endometrial ablation
- Medical treatment by NSAIDs, oral contraceptives, etc.