Hysterectomy

A hysterectomy is the surgical removal of the uterus. It may be recommended for uterine fibroids, endometriosis, abnormal bleeding, prolapse, or gynecologic cancers. In some cases, the cervix, ovaries, and fallopian tubes are also removed.

• Complete preoperative testing, including bloodwork and imaging.
• Review medications with your doctor; some may need to be stopped before surgery.
• Follow fasting instructions, usually no food or drink after midnight.
• Arrange for support at home during the recovery period.

The surgery may be done through the abdomen, vagina, or with minimally invasive techniques such as laparoscopy or robotic surgery. You will receive general or regional anesthesia. Hospital stays vary from same-day discharge to several days. Recovery time depends on the surgical approach, usually 2-8 weeks.

• Common risks: Bleeding, infection, blood clots.
• Organ injury: Rare damage to bladder, bowel, or ureters.
• Anesthesia-related risks: Breathing problems or allergic reactions.
• Long-term effects: Menstruation stops permanently; pregnancy is no longer possible.

Tissue removed during surgery is analyzed in a pathology lab. Your surgeon will review the results and discuss recovery instructions, pain management, and follow-up appointments.