HysterectomyA hysterectomy is the surgical procedure for the removal of the uterus. Types of hysterectomy include a subtotal hysterectomy (supracervical) where the surgeon only removes the upper fundus of the uterus, the cervix, and the top of the vagina remain, total hysterectomy where the entire uterus and cervix are removed. Oophorectomy, the removal of the ovaries, often accompanies hysterectomy but is not always needed. A hysterectomy can be performed as a traditional open surgery or as a minimally invasive procedure (Laparoscopic Assisted Vaginal Hysterectomy). Hysterectomy can be performed along with vaginal repairs for incontinence, pelvic prolapse (cystocele, rectocele, and enterocele) Hysterectomy may be necessary for patients with:
  • Uterine fibroids
  • Uterine/ pelvic prolapse
  • Endometriosis
  • Abnormal vaginal bleeding
  • Chronic pelvic pain
  • Cancer of the reproductive system (uterus, cervix, or ovaries)
Hysterectomy as a treatment for pain or issues which are non-cancerous is typically reserved as a “last resort” option if all other treatments have been unsuccessful.