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What is a Hysterectomy?

A Hysterectomy is a surgical operation where your uterus is removed either through an incision in the abdomen or vagina. Depending on your circumstances, one or both of your ovaries, Fallopian tubes and/or your cervix may be taken out as well. Hysterectomies are the second most common operations performed for women.

The four types of hysterectomy operations are:

• Subtotal hysterectomy: Only the body of the uterus is removed;
• Total hysterectomy: The body of the uterus and cervix are removed;
• Total hysterectomy with bilateral salpingo-oophorectomy: The body of the uterus, the cervix, and one or both ovaries and Fallopian tubes are removed;
• Radical hysterectomy: The body of the uterus, cervix, ovaries, Fallopian tubes, top portion of the vagina, lymph nodes and channels, and pelvic cavity tissue surrounding the cervix are removed.

Who Needs a Hysterectomy?

Women who suffer from certain medical conditions might require a hysterectomy. These diseases or ailments include:

• Prolonged vaginal bleeding
• Uterine prolapse (your uterus has fallen into your vagina)
• Endometriosis (uterine tissue growth outside the uterus in the pelvic cavity)
• Fibroids (benign uterine tumors)
• Chronic pelvic pain
• Gynecologic cancer

A hysterectomy is major and irreversible surgery. Once the hysterectomy is performed, you will no longer be able to become pregnant.

If you are considering a hysterectomy, it is strongly recommended you visit your doctor beforehand for a diagnosis of your condition, medical advice on treatment options, and a treatment plan. You should explore all your available alternatives before you decide to undergo a hysterectomy. Please read more about Hysterectomy Preparation.

The cost of a hysterectomy in the United States is approximately $16,000. By contrast, the sum total for a hysterectomy performed in other countries is usually between $4,000 and $8,000.

How is Hysterectomy Surgery Performed?

The first is through a 4 to 6 inch incision in the abdomen.

The incision is usually horizontal underneath the pubic hair line but, in some cases, a vertical incision between the pubis and navel may be used. This type of hysterectomy surgery is performed when the uterus is large or a radical hysterectomy due to gynecological cancer is required. You will need to stay in the hospital for several days and a visible scar will remain.

The second is by a small incision at the rear of the vagina. The uterus is then withdrawn through the incision. This type of surgery is used for prolapsed uteruses.

Your hospital stay will be shorter, and no visible scar will remain. Compared to Hysterectomy in the US, your hysterectomy overseas will have a longer hospital stay, allowing you to recuperate better.

The third is via a laparoscope. A laparoscope is an instrument with a light and accessories which are used to detach the uterus, which is taken out via one of the 2 to 4 little incisions made to allow the laparoscope access to your uterus.

You will have no visible scars and a relatively brief hospital stay, but much longer than what you will find in the US.

Possible Complications after Hysterectomy

A hysterectomy is a routinely performed surgery. However, with major surgery, always comes some risks. Short term hysterectomy risks include:

• Infection
• Hemorrhage
• Blood clots
• Urinary incontinence
• Anesthesia reaction

Longer term hysterectomy risks may be:

• Prolapse of other organs
• Onset of menopause
• Emotional upset