What is Hysterectomy (Womb Removal)?

Hysterectomy is a surgical procedure that is done to remove your uterus (womb). Sometimes, your ovaries and fallopian tubes are removed in addition to the uterus and cervix. The decision to remove the ovaries and fallopian tubes depends on the reason for surgery.

Hysterectomy is usually done only when all other treatments have been tried. Depending on the reason for the hysterectomy, it may be performed through an incision in the abdomen (abdominal hysterectomy) or through the vagina (vaginal hysterectomy).

An abdominal hysterectomy is usually done if the uterus is large from a fibroid or tumour. An incision is made on the abdomen under general anaesthesia.

A vaginal hysterectomy is usually done for a uterine prolapse. It is performed entirely through an incision made in the vagina under general, spinal, or local anaesthetic, with no visible scars.

Occasionally, laparoscopic hysterectomy or ‘keyhole’ surgery is done as a minimally invasive procedure.

A laparoscopic hysterectomy is used to surgically remove a woman's uterus. A small incision is made in the navel and a laparoscope is inserted. Two or three other incisions are made with specialised instruments added. The surgeon will use the transmitted images to help him or her navigate around the lower abdomen, detaching the uterus from the surrounding tissues.

Why Do You Need Hysterectomy (Womb Removal)?

Hysterectomy may be needed if you have:

• Cancer: Uterine cancer, ovarian cancer, cervical cancer or endometrial cancer.
• Fibroids: Non-cancerous tumours in the wall of your uterus such as uterine fibroids.
• Endometriosis: The tissue that lines the uterus grows outside your uterus on your ovaries, fallopian tubes, or other organs.
• Prolapse of the uterus: Your uterus drops from its usual position down into your vagina
• Adenomyosis: The tissue that lines the uterus grows in the muscle walls of your uterus.
• Chronic uterine pain.
• Abnormal or heavy vaginal bleeding.

Very rarely, hysterectomy is needed to control bleeding during a caesarean delivery following rare pregnancy complications. There are other methods to control bleeding, but hysterectomy is still needed for some women.

What are the Types of Hysterectomy?

There are various types of hysterectomy. The type you have depends on why you need the operation and how much of your womb and surrounding reproductive system can safely be left in place.

The main types of hysterectomy include:

• Hysterectomy: Removal of the uterus and cervix.
• Subtotal hysterectomy: The upper part of the womb is removed, and the cervix and ovaries are left in place.
• Total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAHBSO): The entire uterus (womb), cervix, fallopian tubes and ovaries are removed.

How Long is the Recovery Time from a Hysterectomy?

The length of recovery time from a hysterectomy depends on the type of procedure that is performed, the patient’s age, and general level of health.

Recovery time may also vary for vaginal, laparoscopic, and abdominal hysterectomy. Your healthcare provider will be able to provide guidance and advice for your recovery time.

Make an Appointment at Pantai Hospitals

Your goal of getting swift, accurate and effective treatment is our strength. A dedicated and expert team of Obstetricians and Gynaecologists at Pantai Hospital is available for consultation to provide the best care and assistance.

Get in touch with us to book an appointment today if you have any concerns or questions regarding your reproductive health and related treatment options.

For health screening appointments, please contact the Health Screening Centre at your nearest Pantai Hospital.

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