Know the types of hysterectomy you have been advised
If you have been advised a hysterectomy it may be worth your while to get a little info on the types of hysterectomy and what it entails before you go in for it.
You might have already gathered that hysterectomy is a surgery done to remove a woman’s uterus or womb. You will be reassured in knowing that it is the most common non-pregnancy related major surgery in women and that it is safe and relatively risk-free.
Been advised a hysterectomy for abdomen?
If you have been advised an abdominal hysterectomy, a vertical or a horizontal incision will be given in the skin of your lower abdomen under general anaesthesia. Both these incisions will heal well.
Vaginal hysterectomy :
In a vaginal hysterectomy, the uterus will be removed through a cut in the vagina under local anaesthesia. There will be no abdominal scars.
Laparoscopic surgery :
In a laparoscopic surgery, the surgeon will use a long thin tube with a high intensity light and a high resolution camera at the front. This instrument is called a laparoscope. This is inserted through one of three or four small (keyhole) incisions in the abdomen. These small incisions will leave minimal scars.
Many reasons behind why a hysterectomy?
There are many reasons why a hysterectomy is performed. A number of chronic pain conditions, certain types of cancers and infections can only be helped by the removal of the uterus. You may have been advised one for any of the following reasons:
1.Chronic pelvic pain
2.Uncontrollable vaginal bleeding from any cause
3.Cancer of the uterus, cervix or ovaries,
4.Fibroids or benign tumors that grow in the uterus a serious infection of the reproductive organs or PID (pelvic inflammatory disease) that can cause great damage to the uterus and tubes.
5. Prolapse of the uterus which occurs when the pelvic muscles become weak and the uterus drops through the cervix and protrudes from the vagina endometriosis, in which the lining of the uterus grows outside of the uterine cavity, causing pain, discomfort during sex and bleeding adenomyosis, the inner lining of the uterus grows into the muscles of the uterus causing extremely painful periods
A hysterectomy is advised only if other therapeutic measures have led to no success in treatment in your condition and there is no other alternative left but to remove the uterus.
Along with the uterus the cervix, the Fallopian tubes and the ovaries may or may not be removed depending upon the reason for the removal.
If only a portion of the uterus is removed and the cervix is left intact it is called a partial hysterectomy.
In a total hysterectomy both the uterus and cervix are removed while in a subtotal hysterectomy only the upper portion of the cervix is removed along with the uterus.
In a hystero-salpingo-oophorectomy the whole of the uterus, the Fallopian tubes and the ovaries are removed.
What is the significance of knowing the types of hysterectomy that has been advised?
With all types of hysterectomy, as the womb will be removed, you will not menstruate any more and will no longer be able to have a baby.
With the total removal of the cervix, the risk of cervical cancer is eliminated and there is no need for any further PAP smear tests for you.
Since the feminine hormones are produced by the ovaries, with the removal of the ovaries, your hormone levels will decline drastically and an artificial menopause will result with all the signs and symptoms.