Hysterectomy

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Hysterectomy is an operation to remove the womb. The operation may also include removal of one or both ovaries and tubes, or a ‘repair’ operation to the vagina. Not all patients undergoing hysterectomy will have their ovaries removed and you should discuss this with the doctor caring for you before deciding whether or not to have your ovaries removed at the time of your operation.

Most hysterectomies include removal of the neck of the womb (cervix), but, again, this is not always necessary and you can discuss the benefits and disadvantages further with your doctor if you wish to have your cervix conserved. The doctor caring for you will discuss each of the options for treatment with you at the out patient department.

What are the reasons for having a hysterectomy?

The commonest reasons for having a hysterectomy are heavy or painful bleeding, pelvic pain, premenstrual symptoms, prolapse, fibroids, abnormal cells or suspicion of or diagnosed cancer. Depending on your symptoms, the size of your womb and your child bearing history, your hysterectomy may be performed in a number of ways.

What will happen before my hysterectomy?

Hysterectomy is almost always performed as a planned procedure so it is advisable to be as fit as possible in order to recover more quickly. Eat a healthy diet, take exercise regularly, and avoid smoking. If you take the combined contraceptive pill you should stop 4-6 weeks before your admission date for surgery and use alternative contraception such as condoms.