Hysterectomy - Information, specialists, frequent questions.

Is a major surgical procedure to remove the uterus. A hysterectomy may be total or complete, that is removing the whole uterus and the cervix;  it may be sub-total or partial, that is removing the uterus but leaving the cervix in place; and radical when it removes the uterus, the cervix, the upper part of the vagina and supporting tissues. Often one or both ovarian and fallopian tubes are removed at the same time a hysterectomy is done; this is called hysterectomy with salpingo-ooforectomy. There are two ways to perform it: through a cut in the abdomen (abdominal hysterectomy) or in the vagina (vaginal hysterectomy). In addition, it can be laparoscopic assisted. Hysterectomy may be recommended for several reasons including fibroms (myomas), endometriosis, uterine prolapse, abnormal uterine bleeding, chronic pelvic pain, cervical dysplasia and cancer.

Questions about Hysterectomy

Our experts have answered 8 questions about Hysterectomy

I had a hysterotomy at 15 weeks...

I had a hysterotomy at 15 weeks plus. I then had an intra-uterine blood clot for about 7 weeks. Since the blood clot has gone, I have been bleeding pretty much non stop for about a couple of months. Is that normal?

Mr. Preetkiron Bhal
Mr. Preetkiron Bhal Gynaecologist, Obstetrician Cardiff
Some irregular bleeding is not uncommon following the operation. However as it has persisted for more than 4 weeks I would recommend a scan to ensure that the endometrial cavity is normal. If the scan is normal then the bleeding maybe hormonal in origin.
1 answers
I have fibroids & ovarian cysts...

I have fibroids & ovarian cysts which are causing a great deal of pain & too often I need to empty my bladder day & night, as I am 48 would I be able to have a hyterectomy?

Mr. Shaheen Khazali
Mr. Shaheen Khazali Gynaecologist London
Yes, hysterectomy should be offered to you as an option and at 48 with symptomatic fibroids, it would be a good option.

Your gynaecologist will be able to discuss this as well as the alternatives to hysterectomy, having considered your personal circumstances and the findings of the ultrasound.
2 answers
Hi I'm having total hysterectomy...

Hi I'm having total hysterectomy with tubes and ovaries removed. And bowel separated from my womb due to scar tissue. How long do you think I will be in hospital and what is recovery time?

Mr. Jafaru Abu
Mr. Jafaru Abu Gynaecological oncologist Nottingham
This will depend on how your operation is been performed. If the womb is normal sided or if it is not too large, your operation should be done by keyhole (total laparoscopic hysterectomy). If successful, you should be able to go home within 24-48 hrs. Scarring from previous surgery is not usually a contra-indication to doing your operation by keyhole. In experienced hands, separating scar tissues in your abdomen (adhesiolyis) is much more easily performed by laparoscopy rather than by laparotomy (open operation). In fact, doing your hysterectomy by laparotomy, will increase the risk of further scarring inside your tummy that can cause pelvic and abdominal pain in the future. Again, when hysterectomy is done successfully by keyhole, recovery is quicker and most women are able to drive after 2 weeks and return back to work after 4 weeks.
2 answers

What professionals perform Hysterectomy?

Joseph Aquilina
Arash Bahmaie
Andrew Baxter
Hugh Byrne
Kausik Das
Ayman Fouad MBBCh, MSc, MRCOG, MD
Brighton & Hove