What is Vaginal Hysterectomy?
During a Vaginal Hysterectomy, the womb and cervix are removed through a cut that is made in the top of the vagina. Specialised surgical instruments are inserted into the vagina to separate the womb from the ligaments that hold it in place.
After the womb and cervix have been removed, the cut will be stitched up.
A Vaginal Hysterectomy can be performed either using:
- General anaesthetic – where you will be unconscious during the procedure or
- Spinal anaesthetic – where you will be numb from the waist down
When is a hysterectomy performed?
There are many reasons why the uterus would need to be removed. Some of the disorders that may be treated with a hysterectomy are:
- Constant heavy bleeding that has not been controlled by medicines or dilatation and curettage (D&C)
- Endometriosis that causes pain or bleeding and does not respond to other treatments
- Chronic pelvic pain
- Prolapse uterus – a fallen (sagging) uterus
- Precancerous or cancerous cells or tissue present in the uterus
- Tumours in the uterus
Other ways in which the uterus may be removed are:
- Abdominal Hysterectomy – Having the uterus removed through a cut in the abdomen
- Laparoscopic Hysterectomy through key hole incisions made in the abdomen
- Robotic Hysterectomy through key hole incisions made in the abdomen
- Hysteroscopy, laparoscopy, robotic surgery may be used to:
- Remove an area of endometriosis without removing the uterus
- Remove tumours (fibroids) without removing the uterus