What you need to know about:

Hysterectomy

Fast Fact

88%
Worth It Rating
Average Cost:
$5,643
Recovery Period:
6 to 8 weeks
Permanence:
Permanent
177
Doctors
Time it takes:
1-2 hours
96
Hospitals & Clinics
Reviews
Anesthetize:
General or regional anesthesia

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Overview of

Hysterectomy

in Thailand

The surgical elimination of the uterus that causes the cessation of menstruation and the inability to become pregnant is called hysterectomy. Aside from the uterus, it may also involve the removal of the ovaries and fallopian tubes.

There are different ways to perform a hysterectomy.

The removal of the cervix and the uterus is called total hysterectomy.

Removal of the uterus alone is called subtotal hysterectomy.

In cases where there is a probability of cancer or the presence of cancer, the whole uterus and the tissues around it are removed. This is called radical hysterectomy.

Goals of

Hysterectomy

It is used for the treatment of the following:

  1. Abnormal uterine bleeding.
  2. Severe endometriosis is a condition where uterine tissues are present outside the uterus. Hysterectomies are done when hormonal treatments are not enough.
  3. Uterine fibroids, like benign tumors or myomas, that grow in size, causing pain or bleeding.
  4. Uterine pelvic pain that is unresponsive to treatment.
  5. Prolapse of the uterus occurs when the pelvic muscles become weak and cause the uterus to slip down into or protrude out of the vagina. It is common in women who have given birth multiple times. The condition may cause bowel and bladder incontinence. Treatment to address the prolapse may be partial or total hysterectomy.
  6. Cervical and uterine cancers where it is impossible to fully remove the tumors in the uterus.
  7. Childbirth complications like excessive bleeding.

Price of

Hysterectomy

Average Cost

$5,643

Price Range

$3,585-7,700

Pros and cons of

Hysterectomy

Pros

Vaginal Hysterectomy Pros:

  1. This is the most common approach that surgeons use.
  2. No open wounds or scars are left on the skin because even if the internal sutures are the same as the other procedures, they have a different access point. Thus, no visible scars will be seen.
  3. The time it takes to get back to normal after surgery is significantly reduced.
  4. Vaginal hysterectomies have a low risk of complications because of the minimal chances of getting an infection at the surgical site and less damage to nearby organs.
  5. It is the most cost-effective method that provides better outcomes.

Laparoscopic hysterectomy Pros:

  1. It has a lower cost than the other procedures.
  2. Only small incisions are made and it is preferred when a vaginal approach cannot be done.

Abdominal Hysterectomy Pros:

  1. It is the best treatment procedure for gynecologic cancers or large lesions where minimally invasive procedures are not possible.
  2. It is performed when vaginal and laparoscopic hysterectomies are not feasible.

Cons

Vaginal hysterectomy Cons:

  1. A surgeon who specializes in vaginal hysterectomy is needed to perform the procedure.
  2. It cannot be done for patients with ovarian and fallopian tube abnormalities or severe endometriosis.

Laparoscopic hysterectomy Cons:

  1. It has a long time of recovery compared to vaginal hysterectomy.
  2. High risk of leaving a scar in the abdominal zone. The incision, however, is made below the "bikini line".

Abdominal hysterectomy Cons:

  1. Abdominal hysterectomies have the highest risk of leaving a scar and have the longest recovery time in comparison to the other two procedures.

How it works:

Hysterectomy

A hysterectomy usually takes 1 to 3 hours and may be done under general or regional anesthesia. A partial or complete removal of the uterus may be done. There are times when the fallopian tubes may also be removed.

There are different types of procedures:

  1. Vaginal hysterectomy where the uterus is assessed through the vagina
  2. Laparoscopic hysterectomy is done when a vaginal procedure is not possible because of complications. This method usually has 3 incisions: one in the belly button and 2 in the pelvic area.
  3. Mini-Laparoscopic hysterectomy uses a 5 cm incision point to operate on the uterus. Surgeons can perform this procedure quite quickly because they have more room to work with.
  4. Abdominal Hysterectomy requires a 15 cm incision. This procedure is performed only when needed.

Preparation before

Hysterectomy

Pre - treatment

The surgeon will walk you through the details of the procedure, which includes the possible side effects and complications. Any questions about the procedure will also be addressed. Prior to surgery, the following steps will be taken:

  1. Taking of blood and urine samples for testing.
  2. Hair clipping in the abdominal and pelvic areas
  3. Administration of medications and fluids via an IV line in the arm.

Recovery after

Hysterectomy

Post - treatment

The hospital stay is usually 1 to 3 days, depending on the type of surgery. A catheter may be placed to help the bladder pass urine for around 1 to 2 days after the surgery.

Risks & side effects

  1. Anesthesia-associated risks and complications, which include respiratory and cardiac malfunction.
  2. Wound complications—i.e., abscess, disruption
  3. Blood clots or excessive bleeding.
  4. Infections
  5. Injury to the bladder, ureter, or bowel
  6. Pain with intercourse, decreased libido, or inability to have an orgasm.
  7. Temporary abdominal distension secondary to bowel ileus or transient decreased bowel movement
  8. Short-lived emotional reactions like a sense of loss or depression

FAQs:

Hysterectomy

What are the different approaches of hysterectomies?

Depending on the patient’s condition and severity, there are four types of procedures that can be performed. These are the following:

  1. Vaginal hysterectomy
  2. Laparoscopic hysterectomy
  3. Mini-laparoscopic hysterectomy
  4. Abdominal hysterectomy

Is there scarring in laparoscopic hysterectomy?

The risk of scarring would be minimal because the length of the incision is only about 8 to 12 mm.

What physically and emotional changes will I experience after my hysterectomy?

Physical changes include the following:

  1. Cessation of menstruation
  2. Feeling bloated or the feeling of having menstrual symptoms occasionally
  3. 4 to 6 weeks after surgery, you may experience light vaginal bleeding or dark brown discharge, which is totally normal.
  4. Discomfort on the incision site may last for 4 weeks.
  5. Redness, bruising, or swelling at the incision site may last for 4 to 6 weeks.
  6. Numbness around the incision down to the leg may last up to 2 months, but this is normal.
  7. Patients whose ovaries remain will not experience hormone-related effects.
  8. Symptoms related to menopause like hot flashes may be present if the ovaries were removed with the uterus before menopause. Hormone replacement therapy may be prescribed to relieve such symptoms.

Emotional changes

Depending on how well a patient has prepared for surgery, the reason for the surgery, and whether the problem has been addressed, emotional reactions to hysterectomy vary. Some may be depressed or feel a sense of loss, but these reactions are temporary. Others may feel an improved sense of well-being or improved health, while some may believe that this was their life-saving operation. If you have any emotional concerns, you should discuss them with your healthcare provider.



How will this procedure affect my sex drive and functions?

Sexual function and sexual desires are not usually affected after a hysterectomy. Decreased sex drives and vaginal dryness may occur if the uterus and the ovaries are removed prior to menopause. But these hormone-related side effects and vaginal dryness can be relieved with estrogen therapy.

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