Hysterectomy, or the removal of the uterus, is an increasingly common procedure. It is most often used to treat specific gynecological conditions, and avoid reproductive cancers in certain ‘high risk’ patients. There are several methods of performing hysterectomies, and the decision is largely based on the patient’s medical condition. We’ll talk with you about the risks and benefits of the different procedures to find the one that best meets your needs.
Laparoscopic Supracervical Hysterectomy (LSH) – LSH is a minimally invasive technique that significantly reduces the impact of a hysterectomy on a woman’s body. The procedure uses three half-inch incisions across the abdomen and a tiny high tech camera. Additionally, this method allows the surgeon to leave the fallopian tubes and cervix virtually intact, with the option to keep or remove the ovaries. This less invasive approach results in an extremely short recovery time – about one week compared to four to six weeks for a standard hysterectomy. The procedure takes about an hour, and patients are able to go home a few hours later. Post-surgical pain is significantly less than the traditional abdominal incision method.
Total Laparoscopic Hysterectomy (TLH) – TLH is another minimally-invasive option that is similar to the LSH procedure. The main difference is the cervix is removed with the uterus. The fallopian tubes and/or ovaries may or may not be removed.
Vaginal Hysterectomy – A Vaginal Hysterectomy is a minimally invasive procedure that only takes about 1 ½ hours to perform and leaves no visible scar. Most patients have a one-night stay in the hospital. There are no mechanically adverse effects to sex after a Vaginal Hysterectomy, and in certain cases, the procedure may actually improve your sex life (if a pelvic floor defect is detected prior to surgery and fixed during the hysterectomy).
Single Incision Hyterectomy (SILS™ surgical technique) – The SILS technique uses an incision that is hidden in the woman’s belly button, eliminating a visible scar. Such a small incision greatly reduces post-operative pain and improves recovery time. The SILS technique applies to all types of hysterectomies, from removing the uterus only to a radical hysterectomy
Depending on the type of hysterectomy, hormone treatments may or may not be necessary after surgery. We will work with you to determine the type and dosage of hormone(s) that keep your body and life in balance. Our goal is to understand your individual priorities and completely address your medical concerns.