Vaginal hysterectomy

Vaginal Hysterectomy: Risks & Procedure

Vaginal hysterectomy is a surgical procedure that involves the removal of the uterus through the vagina. The entire procedure entails the following: 

  • He surgeons first detach the uterus from the ovaries, upper vagina and the ovaries

  • It also detaches the organ from the blood vessels

  • Then the uterus is removed through the vagina. 

Once the procedure is complete, you will need to stay in the hospital for a short time. This particular form of hysterectomy is preferred over the abdominal hysterectomy for the following reasons:

  • You have to stay in the hospital for a shorter time

  • It is a much cheaper option. 

  • The recovery after this procedure is much faster. 

There are two kinds of hysterectomy that you can opt for:

  • Total 

  • Salpingo-Oophorectomy

Why is this form of procedure chosen?

The procedure is sort of drastic and once it is over with, you will lose your ability to bear a child. Therefore, the reasons to choose this procedure are as follows:

  • Removal of fibroids: fibroids refer to the benign growth that can happen inside the uterus. While the smaller ones can be dealt with easily, the larger ones require a more drastic process. 

  • Dealing with endometriosis: Endometriosis is a condition where the inner lining of the inner lining of the uterus tends to grow outside the uterus. 

  • Gynecological cancers: There are several forms of gynaecological cancer where the cancerous tumours have to be removed. To that end, this particular procedure helps as well. 

The other reasons for opting for this procedure is Uterine Prolapse, abnormal vaginal bleeding or chronic pelvic pain. 

How to prepare for this procedure?

In order to prepare for this procedure, you need to:

  • Gather as much information as you can for this procedure. Among this information, you also need to ascertain that this is the final and the only medical option available for you. 

  • When it comes to the matter of medications, make sure that you follow through with the doctor’s recommendations. 

  • You need to first know what kind of anaesthetic will be provided to you. You need to tell the doctor if you are allergic to some of its components. Doing so will prompt them to look for alternatives. 

Once the procedure is over, you will need some time to recover. During this recovery period, you are going to need some help. Make sure that you arrange for this. 

  • The process associated with vaginal hysterectomy you are going to have to lie down on the bed after disrobing. 

  • Once you do that, you will be given anaesthesia.

  • A urinary catheter will be inserted into your bladder to empty it.

  • The surgical team will then clean the surgical area before proceeding. 

  • An incision is going to be made in your vagina in order to get into the uterus. 

  • If you are qualified to form a laparoscopic procedure, the incision will be small and so will be the instruments that are going to be used in this procedure. 

  • Otherwise, regular instruments will be used. 

  • Through the vaginal opening, the uterus is first going to be disconnected from the blood vessels and detached from the ovaries and upper vagina.

  • Then, the organ will be removed.

After the procedure

  • Once the procedure will complete, you will have to stay in the hospital for a few hours and might need to stay inside the hospital for a little longer.

  • You will be provided with pain medications as well.

  • For a brief period, you might experience vaginal discharge during the operation. To that end, we recommend for you to use sanitary pads. 

What are the risks associated with this procedure?

The risks of vaginal hysterectomy are as follows: 

  • Heavy bleeding

  • Infection

  • Damage to surrounding organs

  • Adverse reaction to anaesthesia

  • Blood clots in the legs and the lungs


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Dr. Madhu Goel

Senior Gynecologist and a Senior Consultant

Dr. Madhu Goel is a well renowned senior gynaecologist and a senior consultant at Fortis La femme, New Delhi. She runs a private consultation in Goel’s surgery and Gynea centre and prior to being associated with Fortis; she was a consultant a Rockland Hospital.