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A hysterectomy is the removal of the uterus for conditions that cannot be treated with non-surgical methods. The removal of the fallopian tubes and/or ovaries may be included with a hysterectomy. Conditions such as uterine fibroids, pelvic floor prolapse, abnormal uterine bleeding, or cancer may require this procedure as definitive treatment. There are different types of hysterectomies; your physician will discuss the most appropriate option(s) based on your health history, diagnosis, and physical condition. Your hospital stay may range from overnight to a few days, depending on the type of hysterectomy. The types of hysterectomies that we perform are listed below:
- Abdominal Hysterectomy (TAH):
- The uterus is removed through a large horizontal or vertical abdominal incision.
If you have large fibroids, cancer, or other complications, your physician may recommend this type of hysterectomy as it provides a clearer view of the uterus and the surrounding pelvic organs. The removal of the fallopian tubes and/or ovaries may be included with this hysterectomy. This surgery usually requires a three-day inpatient stay, and has a longer recovery than other types of hysterectomy.
- Vaginal Hysterectomy (VH):
- In this type of hysterectomy, the uterus is removed completely through the vagina. There are no incisions made on the abdomen. The removal of the fallopian tubes and/or ovaries may be included with this hysterectomy. The hospital stay and recovery time for a vaginal hysterectomy is usually shorter than with an abdominal hysterectomy.
- Laparoscopically-Assisted Vaginal Hysterectomy (LAVH):
- The uterus is removed through the vagina with assistance from a laparoscope, which is inserted through a series of very small incisions in the abdomen. The removal of the fallopian tubes and/or ovaries may be included with this
hysterectomy. You will have a few small incisions on your abdomen as well as in
your vagina.
- Total Laparoscopic Hysterectomy (TLH):
- The uterus is removed wholly through a laparoscope. There will be a series of small incisions on the abdomen, through which instruments are used to remove the uterus in sections. The removal of the fallopian tubes and/or ovaries may be included with this hysterectomy. The recovery time for this procedure is usually much shorter than with an abdominal hysterectomy.
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