Hysterectomy & Alternatives

Kinds of Hysterectomies

May 19, 2018

A hysterectomy is the surgical removal of part or all of a woman’s uterus. Hysterectomies are typically performed to treat cancer, chronic pain, or heavy bleeding that has not been controlled by less invasive procedures.

Because you can’t get pregnant after having a hysterectomy, other medications or procedures are sometimes tried beforehand. Until after they have finished their families, some women wait to have a hysterectomy.

Just keep in mind that in the event that you opt for another option besides a hysterectomy, you might require additional treatment afterwards.

As for what happens during a hysterectomy, there are 3 distinct types of hysterectomies which may be performed, and which one your surgeon opts to perform depends upon why you need to get one in the first location.

Total or Total Hysterectomy 

This sort of hysterectomy involves the removal of both the uterus and the cervix. Nearly all women undergoing hysterectomies have a complete or total hysterectomy.

Partial or Subtotal Hysterectomy (Supracervical Hysterectomy)

This sort of hysterectomy involves the removal of the upper two-thirds of their uterus and leaves the lower third of the uterus, which can be called the cervix, intact. Women who have not had an abnormal Pap smear result might be candidates for this type of hysterectomy. Some believe a partial or subtotal hysterectomy will help to reduce sex-related consequences.

It may be done laparoscopically or abdominally.

Radical Hysterectomy

During a radical hysterectomy, the uterus, the cervix, the top region of the vagina, and supporting tissues are removed. A radical hysterectomy may be necessary in certain cases of cancer.

When the ovaries and the fallopian tubes have been removed during a hysterectomy, it is known as a hysterectomy with bilateral salpingo-oophorectomy.

The bilateral salpingo-oophorectomy is routinely performed in the United States. Removal of the ovaries before a woman reaches natural menopause often causes induced or surgical menopause.

Kinds of Hysterectomy Procedures

Aside from the magnitude of removal of organs and cells, there are different types of surgical procedures used in performing a hysterectomy.

  • Abdominal Hysterectomy:  This surgery gives the surgeon the best view of what is going on in your pelvis. It’s performed with an incision in the abdomen that can be horizontal or vertical and will leave a scar. It may be done when there are adhesions or when the uterus is quite big. The drawbacks are that there is a increased risk of complications compared with less-invasive procedures. These risks include infection, bleeding, clots, and damage to nerves and cells. You’ll also likely require a longer remain in the clinic.
  • Laparoscopic Hysterectomy: That really is a minimally-invasive procedure using a laparoscopic. The surgical tools are inserted either through the vagina or through small incisions in the stomach. The uterus is removed in pieces, either throughout the incisions or via the vagina. The advantages compared with an abdominal hysterectomy are that there is generally less pain, less risk of disease, and less time spent at the hospital. But there’s still a chance of injury to the urinary tract and other organs.
  • Vaginal Hysterectomy: This hysterectomy is performed entirely through the vagina, avoiding any abdominal incision or scars. It’s normally the first choice unless there are reasons for using the invasive procedures, such as adhesions or a massive uterus. You should have a shorter recovery time and return to your usual activities than using the other kinds of hysterectomy.

A Word From Verywell

Make sure you ask your surgeon questions before your hysterectomy so that you understand the procedure, dangers side effects, and anticipated recovery period. It’s important to comprehend the surgical procedure , the conditions that make a hysterectomy clinically necessary, and also the specifics of any other procedures that might be more suitable for you.