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Hysterectomy is the surgical term for the removal of the uterus. This results in the inability to become pregnant.
There are different types of surgeries, such as:
You may have a hysterectomy if your uterus is causing health problems that cannot be treated by other means. Some reasons a woman may have a hysterectomy are to:
Explore your options before having a hysterectomy. There are other treatments for many of these problems.
If you are planning to have hysterectomy, your doctor will review a list of possible complications, which may include:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
The following may also increase the risk of complications:
Your doctor may do the following:
You should do the following:
General anesthesia will be used. You will be asleep during the surgery.
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You may be given antibiotics just before your surgery.
Laparoscopic procedures are minimally invasive. This means that small incisions are made, rather than the large incisions that are used during open surgery. Small tools and a tiny camera are placed through the incisions to allow the surgeon to see inside and perform surgical tasks.
Similar to the above surgery, small incisions will be made in the abdominal area and tools will be inserted. Incisions will be made in the vagina to help detach the lower portion of the cervix and the uterus. The cervix and uterus will then be removed through the vaginal opening.
A hysterectomy can also be done using robotic technology. Like the laparoscopic procedures, tools are placed through small incisions in the abdominal area. The doctor, though, sits at a console and views the organs via a monitor that displays a 3D image. The surgery is done using a joystick-like device to control the tools.
You will be given IV fluids and medications.
1-3 hours—although it may take longer
You will not have pain during the surgery because of the anesthesia. During your recovery time, you will be given pain medication.
You may be able to leave the hospital on the same day or the next day. You will stay longer if you have complications.
While you are recovering at the hospital, you may receive the following care:
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
After you leave the hospital, contact your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.
The American Congress of Obstetricians and Gynecologists
Family Doctor—American Academy of Family Physicians
Canadian Medical Association
Hysterectomy. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq008.pdf?dmc=1&ts=20120815T1040007858. Updated March 2015. Accessed September 11, 2017.
Hysterectomy. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T116102/Hysterectomy. Updated May 25, 2017. Accessed September 11, 2017.
The treatment: robot-assisted laparoscopic hysterectomy. UC Davis Health System website. Available at: http://www.ucdmc.ucdavis.edu/obgyn/specialties/robotic_surgery/hysterectomy.html. Accessed September 11, 2017.
Last reviewed September 2018 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG Last Updated: 9/30/2014