What is Hysterectomy?

Hysterectomy is the surgical procedure to remove the uterus. It is performed to treat disorders of the reproductive system such as:

  • Uterine fibroids: Fibroids are benign tumors that can cause painful symptoms like pain in the pelvic, bladder pressure, persistent & heavy bleeding and anemia. In such cases, hysterectomy is the only permanent solution.
  • Uterine prolapse: Uterine Prolapse occurs when tissues & ligaments become weak. This can lead to leakage of urine, pelvic pressure, difficulty with bowel movements. Hysterectomy is the most effective solution for this problem.

Dr. Sarada Mamilla is a highly skilled & expert laparoscopic surgeon. She has successfully performed over 1000 hysterectomies. She specialises in Non Descent Vaginal Hysterectomy, which is the most effective solution for Uterine prolapse.

  • Endometriosis: In cases where medications & conservative treatments do not improve symptoms, patients with endometriosis are recommended a hysterectomy along with removal of ovaries & fallopian tubes.
  • Gynecologic cancers: For women with gynecologic cancers like cervical cancer, ovarian cancer or uterine cancer, a hysterectomy is the best option. Depending on the type of cancer & the stage of cancer, the patient may need other treatments like radiation & chemotherapy as well.
  • Abnormal Vaginal bleeding: Women who suffer with prolonged, heavy or irregular periods are often recommended hysterectomy when all other treatment methods fail to bring relief.
  • Chronic Pelvic Pain: Hysterectomy may be considered a last resort for patients who have chronic pelvic pain. But this is very rarely recommended.

Getting a hysterectomy done means that the patient will not be able to conceive. So if the patient is planning to become pregnant, it is best to speak to the gynaecologist about other treatment options available. While hysterectomy is the only option for gynecologic cancers, other conditions may improve with less invasive treatments.

What are the types of Hysterectomy?

A hysterectomy is classified into three types based on what parts of the reproductive system are removed.

  • Subtotal Hysterectomy: In this procedure, only the upper part of the uterus is removed. Cervix remains untouched.
  • Total Hysterectomy: In a total hysterectomy, the uterus & cervix are removed.
  • Radical Hysterectomy: Radical hysterectomy is often performed in patients with gynecologic cancers & involves removal of the whole uterus, tissue on the sides of the uterus, the cervix & top part of the vagina as well.

What are the surgical techniques?


Depending on factors like patient’s general health condition & cause of hysterectomy, there are various approaches to hysterectomy:

  • Abdominal Hysterectomy
  • Laparoscopic Hysterectomy
  • Vaginal Hysterectomy

What are the risks of a hysterectomy?

While most patients who have had a hysterectomy face no serious complications, there are certain risks associated with it:

  • Infections
  • Blood Clots
  • Urinary incontinence
  • Chronic Pain
  • Vaginal Prolapse

What to expect after hysterectomy?

Patients are also advised to avoid lifting heavy objects for at least six weeks.

If the patient’s ovaries are also removed, she will be in menopause. If ovaries are left intact, the patient is likely to enter menopause at an earlier age.

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