o  A Complete or total hysterectomy removes the cervix as well as the uterus. This is the most common 
     type of hysterectomy.

 o  A partial or subtotal hysterectomy (also called a supracervical hysterectomy) removes the upper part of 
     the uterus and leaves the cervix in place.

 o  A radical hysterectomy removes the uterus, the cervix, the upper part of the vagina and supporting
     tissues. This is done in some cases of cancer.

Often one or both ovaries and fallopian tubes are removed at the same time a hysterectomy is done. When both ovaries and both tubes are removed, it is called a bilateral salpingo-oophorectomy.

If the ovaries are removed in a woman before she reaches menopause, the sudden loss of her main source of female hormones will cause her to suddenly enter menopause (surgical menopause). This can cause more severe symptoms than a natural menopause.

Final Scars

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How common are hysterectomies?

Hysterectomy is the second most common major surgery among women. (The most common major surgery that women have is cesarean section delivery). The latest technique is Total Laparoscopic  Hysterectomy Surgery and Beams is a pioneer institution for delivering Total Laparoscopic Hysterectomy.

Why do women have hysterectomies?

Hysterectomies are most often done for the following reasons:

 o  Uterine Fibroids –

Fibroids are common, benign (noncancerous) tumors that grow in the muscle of the uterus. More hysterectomies are done because of fibroids than any other problem of the uterus. Fibroids often cause no symptoms and need no treatment, and they usually shrink after menopause. But sometimes fibroids cause heavy bleeding or pain.

There are alternatives to hysterectomy to treat fibroids, which may be especially important for younger women who hope to have children. Sometimes fibroids are treated with medicine or other treatments designed to shrink the fibroids. But, this is only temporary – when the medicine is stopped, the fibroids will grow again. A type of surgery to remove only the fibroids without removing the uterus is called a myomectomy.

 o  Endometriosis –

This is another benign condition that affects the uterus. Endometriosis is the second leading reason for hysterectomies. It is most common in women in their thirties and forties, especially in women who have never been pregnant. It occurs when endometrial tissue (the inside lining of the uterus) begins to grow on the outside of the uterus and on nearby organs. This condition may cause painful menstrual periods, abnormal vaginal bleeding, and; sometimes loss of fertility; (ability to get pregnant). Endometriosis is usually not a problem for women after menopause.

Women with endometriosis are often treated with hormones and medicines that lower their levels of estrogen. Surgery to remover the patches of endometrial tissue causing the symptoms may be done using a laparascope or through a larger cut in the abdomen (laparatomy). A hysterectomy is generally not done unless other treatment has failed.

o  Uterine Prolapse –

This is a benign condition in which the  uterus moves form its usual place down into the vagina. Uterine prolapse is due to weak and stretched pelvic ligaments and tissues. Other organs such as the bladder can also be affected. Childbirth, obesity, and loss of estrogen after menopause may contribute to this problem. Uterine prolapse accounts for about 16 percent of hysterectomies.

Treatment may include estrogen therapy, exercises to strengthen pelvic floor muscles, or use of pessary, a plastic ring inserted in to the vagina to help support the uterus. In more sever causes, surgery can restore the sagging organs to their normal location and repair the supporting tissues. Sometimes a hysterectomy may be done if the prolapse is causing severe problems.

Cancers affecting the pelvic organs account for only about ten percent of all hysterectomies. Endometrial cancer (cancer of the lining of the uterus), uterine sarcoma, cervical cancer (cancer of the cervix), and cancer of the ovaries or fallopian tubes often require hysterectomy. Depending on the type and extent of the cancer, other kinds of treatment such as radiation or hormonal thereapy may be used as well.

Other reasons why hysterectomies are done include chronic pelvic pain, heavy bleeding during or between periods, and chronic pelvic inflammatory disease.

What should I do if I am told that I need a hysterectomy?

If you have a condition that is not cancer, such as fibroids, endometriosis, or uterine prolapse, there are often other treatments that should be tried first. In most cases, a hysterectomy need not be done immediately. There is time for you to get more information and look into possible alternatives.

In cases of serious disease, such as cancer; a hysterectomy may not be optional and may be a life-saving choice. Before you decide what to do, it is important that you understand your condition and your options for dealing with it.

If you are suffering from continuing, severe problem with pelvic pain and abnormal uterine bleeding and other treatments have not helped, a hysterectomy may provide welcome relief. Studies have shown that a hysterectomy often improves sexual functioning and quality of life for women suffering from these problems.

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