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Hysterectomy (Womb Removal)

  • What is a Hysterectomy?

    A hysterectomy (womb removal) is a surgical procedure that removes the uterus (womb). Depending on the reason for the hysterectomy, it may be performed through an cut in the abdomen (abdominal hysterectomy) or through the vagina (vaginal hysterectomy).

    Abdominal hysterectomy is usually done if the uterus is enlarged from a fibroid or tumour, while a vaginal hysterectomy is usually done to treat a prolapsed uterus. Occasionally it can be done laparoscopically, as a minimally invasive surgery (MIS) or a ‘keyhole’ surgery.

    Depending on the reason for surgery, the ovaries and fallopian tubes may be removed together with the uterus and cervix. A hysterectomy is usually done only when all other treatments have been tried with little or no improvement to the health of the patient.

  • A hysterectomy may be needed if you have:

    • Cancer of the uterus, ovary, cervix or endometrium
    • Fibroids – Non-cancerous tumours in the wall of your uterus
    • Endometriosis – The tissue that lines the uterus grows outside your uterus on your ovaries, fallopian tubes or other organs
    • Prolapse of the uterus – Your uterus drops from its usual position down into your vagina
    • Adenomyosis – The tissue that lines the uterus grows in the muscle walls of your uterus
    • Chronic uterine pain
    • Severe abnormal vaginal bleeding

    Very rarely, a hysterectomy is done to control bleeding during a caesarean delivery following rare pregnancy complications. While there are other methods to control bleeding, a hysterectomy may be necessary to save the lives of some women.

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