vaginal hysterectomy
A vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. It is commonly performed to treat conditions such as uterine prolapse, fibroids, abnormal bleeding, or chronic pelvic pain. Unlike an abdominal hysterectomy, this method does not require external incisions, resulting in a shorter recovery time and reduced post-operative discomfort.
In some cases, the ovaries and fallopian tubes may also be removed, depending on the patient’s condition and medical history.
The surgery is carried out under general or regional anaesthesia. The surgeon makes an incision inside the vagina to access and carefully detach the uterus from the surrounding tissues, ligaments, and blood vessels. Once separated, the uterus is removed through the vaginal opening.
The incision is then closed with dissolvable stitches. If necessary, repairs to the vaginal walls or support structures may also be performed at the same time, particularly in cases of prolapse. The procedure typically takes around one to two hours.
Patients usually stay in hospital for one to two days following the procedure, though some may be discharged on the same day. It is normal to experience some vaginal bleeding and mild discomfort for a few weeks. Most women can return to light activities within two weeks, but strenuous exercise and heavy lifting should be avoided for at least six weeks.
Full recovery can take up to eight weeks. Patients are advised to avoid sexual intercourse and the use of tampons during the healing period. Follow-up appointments will be scheduled to monitor recovery progress.
As with any surgery, a vaginal hysterectomy carries some risks. Possible complications include infection, excessive bleeding, blood clots, or injury to nearby organs such as the bladder or bowel. Some women may experience changes in bowel or bladder function, and there is a small risk of vaginal prolapse in the future. If the ovaries are removed, menopausal symptoms may occur.
Patients should seek medical advice if they experience severe pain, heavy bleeding, fever, or signs of infection following the procedure.
For more information, or to discuss whether a vaginal hysterectomy is the right option for you, please book a consultation.
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He specialises in various surgical treatments, such as endometrial ablation, prolapse repair, and abdominal hysterectomy, among others.
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