What are the Best Methods for Uterus Removal Operation?

Uterus removal surgery, medically known as “Hysterectomy” is a multifunctional surgery done to resolve various diseases and disorders related to, or impacting the uterus. It permanently ends the severe pain, abnormal bleeding, urinary, and bowel issues happening because of the diseased uterus. Therefore, at times, it saves a life, and at others, improves its quality. 

However, the only drawback is, that while it permanently resolves the pain, it also permanently ends a woman’s ability to become pregnant and have children. 

Therefore, despite being the second most performed woman’s surgery in the world, whenever suggested, hysterectomy arises the question- Is Hysterectomy Really The Right Decision?

This blog answers the same along with more details on uterus removal, what it solves, what to expect, other conservative options, and some of the best gynecologists in India

What is Hysterectomy and What Does It Solve?

Hysterectomy, in the simplest sense, is to surgically remove a woman’s uterus. 

A uterus is a womb where the unborn baby grows and develops. As part of a natural cycle, your uterus develops a thin line of blood tissues every month to prepare for the baby’s development. However, when the egg and the sperm do not meet, the same blood tissues slowly shed away as menstruation. In a normal cycle, the bleeding lasts an average of 3-5 days and involves mild-moderate bloating and cramping. 

However,  problems begin when this cycle gets abnormal, resulting in extraordinarily scanty or heavy bleeding, acute pain, constant cramping, and urinary or bowel-related issues. Typically this happens because of either of the following conditions-

Condition: Endometriosis is a rare condition of reverse menstruation. Here, the blood lining that typically lines the uterus starts to grow and shed blood outside it. This causes extreme cramping during menstruation, abnormal bleeding, chocolate cysts, constant nausea, and infertility. 

Conservative Treatment: The first line of treatment includes hormone medicines, pain relievers, and conservative surgeries such as laparoscopic ablation, laparoscopic excision, or laparoscopic cyst removal (based on the exact need and stage of the endometriosis). All provide substantial and long-term relief and must be considered thoroughly if you desire childbirth. 

Permanent Treatment: However long term, all conservative treatments of endometriosis are only temporary and the chances of recurrence remain extremely high. Therefore, the complete removal of the uterus stands as the only, final, and permanent solution. 

Condition: Adenomyosis is another condition of the uterus where the blood lining starts to grow and shed in its own muscle walls instead of the inside of the uterus. Therefore, the uterus starts to grow abnormally thick with cramping pain during menstruation. 

Conservative Treatment: The first line of treatments includes hormone medicines, IUDs, and painkillers.  Together, they all help build a hypo-estrogen environment and control the thickening of the uterus and associated pain.  This method is best in case the patient is still in her reproductive age and desires childbirth. 

Permanent Treatment: However effective, medicines and IUDs are only temporary solutions to adenomyosis. The only permanent solution for an enlarged uterus is- the uterus removal operation.  

Condition: Fibroids are abnormal but non-cancerous growths that may develop in the uterus. When they continue to grow extensively in size or numbers, they cause extreme pain, constant fatigue, heavy cramping, and abnormal bleeding. 

Conservative Treatment: The first line of treatment for uterine fibroids includes medicine and IUDs. When the fibroids become even more troublesome, highly symptomatic or distraught fertility, another conservative surgery called ‘myomectomy’ can be performed. Myomectomy removes fibroids without removing the uterus and is known to bring substantial relief and increase the chances of fertility. 

Permanent Treatment:  While conservative treatments are effective, the chances of recurrence of fibroid `despite myomectomy remain 20-30%. Therefore, once the woman no longer desires childbirth, uterus removal surgery stands as the best and only permanent solution. 

  • Uterine Prolapse

Condition: As the name suggests, uterine prolapse is when the uterus laxes and drops down from its actual position and begins to push the bladder or rectum. This causes extreme pain in the abdomen, a constant urge to urinate, pain in the bowel movement, and increased urinary tract infections. 

Conservative Treatment: While painkillers and anti-biotics can help manage the pain and lower the frequency of UTIs, none can resolve a prolapsed uterus. 

Permanent Treatment: The only and permanent solution to uterine prolapse is- uterus removal surgery

  • Endometrial Cancer (Uterine Cancer)

Condition: Fluctuations in the female hormones or genetic coding can sometimes cause abnormal mutations in the uterus. This causes uterine cancer. While uterine carcinoma grows at a comparatively slower speed, the effects remain dangerous and fatal.  The symptoms include- bleeding between cycles, bleeding post-menopause, and pain in the pelvic area. 

Conservative Treatment: None. Once detected, the uterus must be removed the soonest as possible. 

Permanent Treatment: Depending on the need, the doctor may either only remove the uterus, or also the ovaries, fallopian tubes, cervix, or a limited portion of the vaginal canal along with the uterus. Hysterectomy becomes both necessary and urgent. 

Is Hysterectomy Necessary?

No. Not always. As explained above, hysterectomy is always the last and final resolute. Mostly, doctors begin with milder treatments such as medicines, IUDs, hormone therapies, laparoscopic excision (LAPEX), and/or fibroid removal surgery depending on the disease and the urgency of its treatment. 

However, when neither turns effective, the woman desires no further child-birth, or the patient risks cancer, hysterectomy becomes both necessary, and important, and must not be delayed. 

What to Expect During Uterus Removal Operation?

While hysterectomy is substantially loaded with a negative connotation, the truth is, it is not half as bad. 

Instead, if your family is complete and you do not desire any further childbirth, uterus removal may be the perfect end to the years of unbearable pelvic pain, abnormal bleeding, fatigue, and nausea because of uterine disorders.

Also, contrary to the popular belief, it is a painless procedure, marks standard risks, and has no major or long-term side effects. Depending on the surgery technique, the discharge can be expected within 1-3 days and recovery within 1 to 6 weeks.

What are the Best Methods for Uterus Removal Operation?

Laparoscopic Hysterectomy is undoubtedly the best method of uterus removal. Unlike the conventional open cut method, it ensures

  • Minimum invasion (only 4-5 keyhole sized ports instead of the conventional open cut incision)
  • Minimized risks ( Laparoscopic HD camera, light, and digital monitoring give gold standard precision)
  • 1-day discharge  (instead of conventional 3-4 day hospitalization)
  • 5-7 days recovery (instead of the conventional 1.5 months recovery period)

**In case of uterine prolapse, vaginal hysterectomy, too, stands as a good option. However, this decision is best made by your operating gynecologist. Please consult the same directly.

Also Read: Uterus Removal Surgery Options and Cost

Does Hysterectomy Affect Sex Life?

Yes, and positively so!

Hysterectomy ends all the pelvic pain otherwise felt during sex because of uterine conditions. It thus makes sex painless and pleasurable. 

And contrary to the popular belief, NO. Hysterectomy Does Not Decrease Your Sex Drive. 

The sex hormones or libido are rather produced by the ovaries and their production does not stop because of uterus removal. You can resume your sexual life as soon as you feel mentally and physically ready. (preferably after 4-6 weeks.)

Also Read: Sex After Hysterectomy- What Can You Expect?

Best Gynecologist for Hysterectomy Operation in India 

A gynecologist with specialization and experience in laparoscopic gyne surgeries is the best to advise/ perform uterus-related surgeries. Some of the top-rated Laparoscopic Gyne-surgeons associated with Pristyn Care are:

DoctorsSpecialization Experience Clinic
Dr. Juhul Arvind Patel MBBS, DGO, DNB, DMLS, DHHM10 + yearsPristyn Care Clinic, Hyderabad
Dr. Janani Manoharan MBBS, MD (Obs and Gyn), MRCOG, DMAS, FMAS, FARM, FICRS, Diploma in Ultrasonography8+ years Pristyn Care Clinic, Indiranagar, Bangalore
Dr. Raman Dabas MBBS, DGO (Obs & Gyn), DNB​​10+ years Pristyn Care Clinic, Paschim Vihar, Delhi
Dr. Swati Singh Laparoscopic gyne-surgeries10+ years Pristyn Care Clinic, GK (Part 1), Delhi

We, at Pristyn Care pride in providing end-to-end hassle-free surgery experience. 

Once connected, we provide 

  • One-stop Medical Coordinator to answer all your doubts regarding consultation/ testing/ surgery or follow-ups (both pre and post-surgery )
  • Free Transportation to and from the hospital on the day of surgery
  • Free Insurance Assistance on the medical costing
  • Free Follow-Up post-surgery

We also provide Free Doctor Consultation and 30% Off on Diagnostics. To book your free consultation, or know more about our list of operating doctors, and associated hospitals in your city, please call us directly by clicking on the ‘Call Now’ option on the right below, or fill our ‘Book my Appointment’ form by clicking on the left. We would be happy to call you back.

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