HYSTERECTOMY

  Most women consider a hysterectomy because of heavy periods, which gynaecologists call menorrhagia, or painful periods (dysmenorrhoea). Other conditions that may be resolved by hysterectomies include fibroids and endometriosis.
A hysterectomy involves removal of the uterus, so you will no longer have periods. Normally the ovaries are not removed during a hysterectomy. Hysterectomy is an effective procedure, and most women are very satisfied with the results. Hysterectomy can be performed laparoscopically, vaginally or abdominally.  Unfortunately, endometriosis can be missed by some general gynaecologists who have not had extensive training in endometriosis surgery. As it can be a painful and limiting condition to live with, it is worth consulting an endometriosis expert.

SURGERY

Phill is an expert in laparoscopic hysterectomy, which is a less painful, less invasive surgical method for hysterectomies and offers fast recovery times. This is a minimally invasive surgical technique, under general anaesthetic, that involves inserting a laparoscope (a very small camera) usually through a small incision through the belly button to view the abdomen and pelvis.  Three further incisions are required in the lower abdomen to insert instruments in order to disconnect the uterus, which is then removed vaginally. Endometriosis can be removed during the same procedure if required. This procedure takes approximately 1.5-2 hours, followed by a hospital stay of 2-3 days and ideally 3 weeks’ rest. Vaginal hysterectomy can be an option for women who have heavy periods and experience symptoms of prolapse as repairs can be made to the pelvic floor at the same time. This procedure takes 1-2 hours, followed by a hospital stay of 2-3 days and ideally 3 weeks’ rest. During an abdominal hysterectomy the uterus is removed through the abdomen. This surgery can be required for women with large fibroids in the uterus. This procedure takes 1-2 hours, followed by a hospital stay of 3-5 days and ideally 4-6 weeks’ rest. Phill will speak with you about your options and the best hysterectomy procedure for your situation during your personal consultation. Make a time to talk with Phill.