Hysterectomy is a medical procedure to remove a woman’s uterus. That is, women who carry out this procedure can no longer get pregnant. There are several conditions that require a woman to undergo a hysterectomy procedure.

Uterus removal surgery is recommended for women who suffer from certain diseases and have undergone various medical treatments, but the condition does not improve. Hysterectomy is a major surgery, so it requires relatively long recovery time. But this depends on your age and overall health condition.

Why Hysterectomy

Conditions that require hysterectomy

There are several conditions that must be treated with hysterectomy, including:

  • Menorrhagia

  • Menorrhagia is also called excessive menstruation. In addition to excessive menstrual blood, other symptoms that may be felt are cramps and abdominal pain. Under certain conditions, bleeding can only be treated with hysterectomy, especially if other treatments have not succeeded in stopping the bleeding, or if the bleeding is affecting the quality of life.

  • Endometriosis

  • Endometriosis occurs when cells lining the uterus are found outside the uterus. The most frequent symptom is intense pain during menstruation.

  • Pelvic inflammation

  • Infection of the reproductive system by bacteria can cause pelvic inflammation. Mild pelvic inflammation can be treated with antibiotics. However, if the condition is severe or the infection has spread, hysterectomy is needed.

  • Miom

  • Myoma or benign tumor that grows in the uterine area is also known as fibroids. The most common symptom is intense pain during menstruation.

  • Adenomyosis

  • The condition when tissue in the inner lining of the uterus grows in the muscles of the uterus. This can make menstruation painful and cause pelvic pain.

  • The uterus is sagging

  • This slack occurs when the tissue and ligaments that support the uterus become weak. Symptoms are back pain, urine leak, difficulty having sex, and feel something is coming down from the vagina.

  • Female cancer

  • Cancers referred to here include cervical, ovarian, fallopian and cervical cancer.

What’s the Hysterectomy Procedure Like?

There are several types and techniques of hysterectomy. Before undergoing hysterectomy, the doctor will examine the health history of the reproductive system to determine what type and technique is appropriate.

The types of hysterectomy include:

  • Radical hysterectomy

  • Those who undergo this procedure will lose the entire reproductive system such as the entire uterus and cervix, fallopian tubes, ovaries, upper part of the vagina, fat tissue and lymph nodes around the uterus. This procedure is performed on those who have cancer.

  • Total hysterectomy

  • The entire uterus and cervix are removed when undergoing this procedure. But there is also a type of total bilateral hysterectomy salpingo-oophorectomy. This procedure involves removal of the fallopian tubes and ovaries.

  • Subtotal hysterectomy

  • This procedure only removes the uterus without interfering with the cervix.

If the ovary must be removed, then you will enter menopause, whatever your age. But if you do not take part, then you will have the risk of experiencing early menopause.

Hysterectomy Surgery Techniques

The following surgical techniques for hysterectomy:

There are two surgical techniques to undergo hysterectomy, namely conventional surgery and surgery that uses minimally invasive procedures (MIP).

  • Conventional operation

  • This procedure is often called open surgery or abdominal hysterectomy because the surgeon will cut the lower part of the abdomen to remove the uterus and other parts that need to be removed.

  • MIP Procedure

  • There are two techniques related to this procedure, namely:
    – A vaginal hysterectomy is performed by making an incision in the vagina to remove your reproductive organs. Afterwards, the incision is sutured so that it does not leave a scar.
    – Laparoscopic hysterectomy is performed by making a small incision in the abdomen. Through the incision, a laparoscope or a small tube with a lamp and camera, and surgical instruments are inserted. Laparoscopy will give a picture or visualization of the situation in the body through a monitor screen so that the surgeon can undergo surgery easily.

MIP has more advantages than conventional operations. These advantages include, the healing process is faster, the risk of infection is smaller, not as painful as conventional surgery, and costs are generally cheaper.

Even so, not all women can do MIP. Women who are overweight or obese and have surgical scars cannot undergo the MIP procedure because it is very risky.

What Happens After Uterus Removal?

If you undergo conventional surgery, the recovery process takes about 6-8 weeks. When undergoing MIP, the recovery process can be faster. In the recovery period after undergoing removal of the uterus, you should get plenty of rest. Avoid exercising, lifting heavy objects, driving, and having sex until conditions really improve. Ask your doctor when the right time to return to normal activities.

Side effects that occur in the short term post-hysterectomy include:

  • Vaginal bleeding.
  • Disorders of the intestines and bladder.
  • Symptoms of menopause.

Emotional changes such as sadness or feeling of loss may occur after undergoing hysterectomy, because they can no longer have children or may feel they are no longer completely women. If this does not go away, try to consult a doctor for further treatment.

Deciding to do a hysterectomy is hard, but it must be done in certain conditions. Discuss the ins and outs of hysterectomy with your doctor, starting with the risks, preparations, costs and other things, so that you are ready to undergo hysterectomy.

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