A vaginal hysterectomy may be done to correct a condition known as uterine prolapse. A uterine prolapse is a condition in which the uterus drops from its normal position at the top of the vagina. A vaginal hysterectomy involves the removal of the uterus and cervix through a small incision in the vagina. The ovaries and fallopian tubes may also be removed during the procedure.
When menopause occurs, a woman's body starts to make less estrogen. Without estrogen, the female pelvic muscles lose tone. The vaginal walls thin out and the uterus may drop from its normal position. The woman is at higher risk for the following conditions:
If the bladder or rectum is protruding through a tear in a muscle or tissue, it can be fixed during the surgery. The ovaries and tubes may also be removed.
Before surgery, several things are usually done.
In the operating room, the woman is given either local or general anesthesia. The skin around the vagina is cleaned with a soapy solution to remove any bacteria. A cut is then made in the upper part of the vagina to expose the tissue, such as blood vessels, that surrounds the uterus and cervix. These tissues must be cut and tied off before the uterus is removed. Sutures are placed in these deep structures. These will heal during the weeks following surgery and do not need to be removed. The uterus is removed from the top of the vagina, and the vagina is closed at the top.
The surgery usually takes 60 to 90 minutes. At times, the ovaries and tubes may be removed. Other organs may be repaired or removed at this time if necessary.