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Hysterectomy is the surgical term for the removal of the uterus (womb). 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.
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:
When at home, take these steps to care for yourself:
Note: If the doctor has not removed your cervix, you will need to continue to have Pap smears to check for cervical cancer.
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for emergency medical services right away.
The American Congress of Obstetricians and Gynecologists
Family Doctor—American Academy of Family Physicians
Hysterectomy. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq008.pdf?dmc=1&ts=20120815T1040007858. Published March 2015. Accessed October 7, 2015.
Hysterectomy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 18, 2015. Accessed October 7, 2015.
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 October 7, 2015.
Last reviewed September 2015 by Andrea Chisholm, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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