Hysterectomy (Vaginal)

Need for a Vaginal Hysterectomy

Vaginal hysterectomy is the name given to a non-invasive surgical healthcare procedure in which the uterus is removed from the body vaginally. In healthcare situations where the woman’s periods have become painful, exceedingly heavy, irregular, or a combination of the three, and healthcare practitioners have not been able to ascertain a specific cause, a vaginal hysterectomy may be necessary. Women who have undergone hormone therapy or have had their uterus lining removed to reduce bleeding, without much success, are ideal candidates for a vaginal hysterectomy.

Performing a Vaginal hysterectomy

The healthcare practitioner needs to be informed of any blood pressure, heart, or lung problems before performing the procedure. A vaginal hysterectomy is performed under general anesthesia. An incision is made on the upper part of the vagina, and the uterus is removed. If the ovaries are diseased, they are taken out as well. The wound is sutured up and is expected to leave no visible scars. All available tissue is sent to the laboratory for microscopic analysis. The patient may be advised to remain in the healthcare facility for three days. During this time, she will receive rehydration salts or blood through an IV transfusion. A gauze pack is placed in the vagina to absorb any excess blood. Blood and urine tests will be carried out to check for infection in the first couple of days post surgery. Vaginal aches and numbness may be felt up to six months after the healthcare procedure. More severe complications include excessive bleeding and damage to the bladder or bowels. In such extremely rare cases, another surgical procedure may have to be performed.

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Alternatives to Vaginal Hysterectomy

In cases where performing a vaginal hysterectomy is not feasible either because the uterus is too large or attached to other organs, the healthcare practitioner may perform an abdominal hysterectomy. As the name indicates, the uterus is removed through an incision made in the abdomen and the vagina is thus shortened.

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