Hysterectomy -- Open Surgery

Hysterectomy is the surgical term for the removal of the uterus (womb). This results in the inability to become pregnant. There are different types of surgeries, such as:

  • Call Your Doctor

    After you leave the hospital, call your doctor if any of the following occur:

    • Signs of infection, including fever and chills
    • Redness, swelling, increasing pain, excessive bleeding, leakage, or any discharge from the incision site
    • Incision opens up
    • Nausea and/or vomiting that you cannot control with the medicines you were given or that last longer than two days
    • Dizziness or fainting
    • Cough, shortness of breath, or chest pain
    • Heavy bleeding
    • Pain that you cannot control with the medicines you have been given
    • Pain, burning, urgency or frequency of urination, or persistent blood in the urine
    • Swelling, redness, or pain in your leg

    In case of an emergency, call for medical help right away.

  • Definition

    Hysterectomy is the surgical term for the removal of the uterus (womb). This results in the inability to become pregnant.

    There are different types of surgeries, such as:

    • Supracervical hysterectomy—removal of the uterus only
    • Total hysterectomy—removal of the uterus and cervix (the opening of the uterus leading to the vagina)
    • Radical hysterectomy—removal of the uterus, ovaries, fallopian tubes, upper part of the vagina, and the pelvic lymph nodes
    • Salpingo-oophorectomy
      —removal of the ovaries and fallopian tubes (may be combined with any of the above procedures)

  • What to Expect

  • Reasons for Procedure

    You may have a hysterectomy if your uterus is causing health problems that cannot be treated by other means. Some reasons a woman may have a hysterectomy are to:


    • Treat cancers (such as
      uterine
      , endometrial,
      and
      ovarian
      cancers)

    • Remove
      uterine fibroids
    • Treat conditions (such as chronic pelvic pain, heavy bleeding)

    Explore your options before having a hysterectomy. There are other treatments for many of these problems.

  • Possible Complications

    If you are planning to have hysterectomy, your doctor will review a list of possible complications, which may include:

    • Reactions to anesthesia
    • Pain
    • Infection
    • Bleeding
    • Fatigue
    • Injured pelvic organs (bowel and/or bladder)
    • Urinary incontinence
      (problems controlling your urine)
    • Loss of ovarian function and early menopause
    • Depression
    • Sexual dysfunction

    Some factors that may increase the risk of complications include:

    • Obesity
    • Smoking
    • Heart or lung disease
    • Diabetes
    • Previous pelvic surgery or serious infection
    • Use of prescription and nonprescription drugs during the past month

    Be sure to discuss the risks with your doctor before surgery.