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Vaginal Hysterectomy for Uterine Fibroids
Overview & Description
A vaginal hysterectomy may be done to remove uterine fibroids. A fibroid is a noncancerous growth in the wall of the uterus. 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.
Who is a candidate for the procedure?
Uterine fibroids do not usually produce symptoms. But sometimes, these problems may occur:
A vaginal hysterectomy for fibroids is best for women who do not want to bear children and have many symptoms. 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 if there is no scarring or enlargement that would prevent their removal through the vagina.
How is the procedure performed?
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 can be 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 if necessary.
Preparation & Expectations
What happens right after the procedure?
The woman usually stays in the hospital for 1 to 3 days. She may be asked to sit up in bed and walk a short distance the first night after surgery. The urinary catheter is usually removed the next morning. The IV is usually removed if there is no evidence of fever or infection and the woman is drinking fluids.
Home Care and Complications
What happens later at home?
Women having this surgery are advised to follow certain tips at home.
After a hysterectomy, a woman cannot become pregnant. If the ovaries are removed along with the uterus and cervix, hormone replacement therapy with estrogen is often advised. This helps prevent symptoms and other health problems of menopause.
What are the potential complications after the procedure?
Surgery may cause bleeding, infection, or allergic reaction to anesthesia. Any new or worsening symptoms should be reported to the healthcare provider.
Attribution
Author:Eva Martin, MD
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:06/30/01
Reviewer:Adam Brochert, MD
Date Reviewed:06/11/01