Hysterectomy
A hysterectomy
is the surgical removal of the uterus with or without ovaries. The removal
can be done through the abdomen or vaginally. This procedure results in
sterility, or an inability to become pregnant.
Hysterectomy
is a common surgical procedure in which the uterus is removed completely
or partially. A partial hysterectomy involves the removal of the upper
portion of the uterus, leaving the cervix and the lower portion intact.
A total hysterectomy is the removal of the entire uterus. A radical hysterectomy
involves the removal of the uterus, the upper portion of the vagina, the
Fallopian tubes and ovaries and is reserved for treatment of certain types
of cancer. An abdominal hysterectomy is performed through an incision in
the abdomen to remove part or all of the uterus. A vaginal hysterectomy
is performed through an incision in the vagina to remove part or all of
the uterus.
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The expectation of surgery
for most patients is complete recovery with a short convalescence period.
The removal of the ovaries is an additional procedure will cause immediate
menopause and usually means you will need hormone replacement therapy.
The hospital stay varies depending
on the type of hysterectomy performed. The average patient with no surgical
problems may require a hospital stay of no longer than two to three days.
Complete recovery time may range between two weeks and two months. Recovery
from a vaginal hysterectomy is usually faster than an abdominal hysterectomy
due to lack of an abdominal incision.
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Recommendations
to speed recovery include staying moderately active in the home. Walking
helps to avoid blood clots in the legs and other stationery problems. A
normal diet is recommended as soon as it can be tolerated. Avoid lifting
heavy weights (such as children, vacuum, sweeping, yard work, etc.) for
the weeks following surgery. Sexual activity should also be avoided for
6 to 8 weeks after a hysterectomy. Hysterectomy does not change sexual
function. Sexual desire is often increased after a hysterectomy especially
if it is done to eliminate pelvic pain.
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