What is a vaginal hysterectomy?
A vaginal hysterectomy involves the removal of your uterus through an incision made in your vagina, leaving no visible scars on your abdomen. This type of hysterectomy is often recommended for conditions such as uterine prolapse, fibroids, endometriosis, or abnormal bleeding that has not responded to other treatments. Depending on your medical needs, the procedure may also include the removal of your cervix, fallopian tubes, and ovaries.
When is a vaginal hysterectomy recommended?
A vaginal hysterectomy is typically recommended if you experience:
Uterine prolapse:
When your uterus descends from its normal position into your vaginal canal, which may cause discomfort, urinary issues, or difficulty with bowel movements.
Fibroids:
Non-cancerous growths in your uterus that can cause heavy menstrual bleeding, pain, or pressure symptoms.
Endometriosis:
A condition where tissue similar to the lining of your uterus grows outside the uterus, causing pain and bleeding.
Chronic pelvic pain:
Persistent pain associated with uterine abnormalities that have not been relieved by other treatments.
Abnormal uterine bleeding:
Heavy or irregular bleeding that has not responded to other treatments.
It is important to understand that a hysterectomy is a major surgical procedure, generally considered when other treatments have not been successful or are not suitable.
The vaginal hysterectomy procedure
Before your surgery, you will undergo a preoperative assessment to ensure you are fit for the procedure. This may include blood tests, imaging studies, and a discussion about your medical history and any medications you are taking.
The procedure involves:
- The surgery is performed under general or regional anaesthesia.
- Your surgeon makes an incision at the top of your vagina to access and remove your uterus.
- Depending on your underlying condition, your cervix, fallopian tubes, and ovaries may also be removed.
- The incision is then closed with dissolvable stitches.
A vaginal hysterectomy typically takes 1 to 2 hours, and most patients can go home within 1 to 2 days after the procedure.
Recovery after a vaginal hysterectomy
Recovery from a vaginal hysterectomy usually takes about 6 to 8 weeks. It is essential to follow your surgeon’s advice to ensure a smooth recovery.
Postoperative care includes:
- Pain management: Mild to moderate pain is common after surgery, and you may be prescribed pain relief medications to manage discomfort.
- Wound care: Since the incision is internal, there are no external wounds to care for, but it is important to keep the area clean and dry to prevent infection.
- Activity restrictions: Avoid heavy lifting, strenuous activities, and sexual intercourse for at least 6 weeks. Gradually increase your activity level as you feel able.
- Follow-up appointments: Attend all scheduled follow-up appointments to monitor your recovery and address any concerns.
Potential risks and complications
As with any surgery, a vaginal hysterectomy carries some risks, including:
- Infection: There is a risk of infection at the surgical site, usually managed with antibiotics.
- Bleeding: Excessive bleeding during or after surgery is uncommon but may require additional treatment.
- Damage to surrounding organs: Although rare, there is a risk of damage to your bladder, bowel, or blood vessels during surgery.
- Blood clots: Surgery increases the risk of blood clots forming in your legs (deep vein thrombosis) or lungs (pulmonary embolism). Early mobilisation and the use of compression stockings can help reduce this risk.
- Anaesthesia risks: General anaesthesia carries its own set of risks, which will be discussed with you prior to surgery.
It is important to discuss any concerns you have about the procedure with your surgeon, who can provide further information on how these risks apply to your individual case.
Benefits of a vaginal hysterectomy
A vaginal hysterectomy offers several benefits compared to other types of hysterectomy, such as abdominal or laparoscopic hysterectomy:
- No visible scars: Since the surgery is performed through the vagina, there are no external incisions, resulting in no visible scarring.
- Shorter recovery time: Most women recover more quickly from a vaginal hysterectomy than from an abdominal hysterectomy, often returning to normal activities sooner.
- Less postoperative pain: The absence of large abdominal incisions generally results in less postoperative pain and a faster return to daily activities.
Alternatives to a vaginal hysterectomy
Depending on your condition, there may be alternative treatments to consider before opting for a vaginal hysterectomy:
- Medications: Hormonal treatments or other medications may help manage symptoms such as heavy bleeding or pain.
- Endometrial ablation: A procedure to remove or destroy the lining of your uterus, which may be effective for abnormal bleeding.
- Uterine artery embolisation: A procedure to shrink fibroids by cutting off their blood supply.
- Laparoscopic hysterectomy: A minimally invasive procedure involving the removal of your uterus through small incisions in your abdomen.
Your gynaecologist will discuss all available options with you to determine the best course of action based on your individual needs.
Why choose Birmingham Gynaecology Clinic
At Birmingham Gynaecology Clinic, we provide expert care tailored to your needs. Our experienced specialists use the latest techniques to ensure a safe, effective vaginal hysterectomy with minimal recovery time. Your comfort and well-being are our top priorities, making us a trusted choice for this procedure.
Contact us
For more information or to schedule a consultation, contact Birmingham Gynaecology Clinic today. Our dedicated team is here to support you every step of the way.