Vaginal hysterectomy –a doctor makes a cut in the vagina and removes the uterus via this incision and then stitches the hole of the cut. This cut is made inside and not seen outside the body. The healing time after vaginal hysterectomy is shorter than in abdominal. The cut is usually done under general or spinal anesthesia. Vaginal hysterectomy is conducted in the case of uterine prolapse (when the uterus descends towards the vagina).
When the incision is made, a doctor moves bladder and bowels away from the uterus. Blood vessels which supply the uterus are pressed, cut and bound. Then a surgeon checks if there is no any bleeding and only then takes away the uterus and closes the vaginal vault. There is less pain during recovery in comparison with abdominal hysterectomy. The procedure doesn’t leave very visible scar tissue. It is the safest way to remove the uterus with the least number of complications. After the operation a patient will have to stay not so long in hospital and can return quickly to normal activities. Vaginal Hysterectomy with laparoscopy is a procedure which involves 2-4 inch incisions in the abdomen area where a doctor inserts a laparoscope – a tool which reminds the pencil and has a light at the far edge. After placing it inside a surgeon disjoins the uterus and then removes it in the same way as in the vaginal hysterectomy. If you have vaginal hysterectomy your stay at the hospital will be shorter, cost spent on the procedure is lower in comparison with abdominal hysterectomy. But if your uterus becomes too big this kind of operation is not possible.
Vaginal hysterectomy is often recommended in such cases as:
• Gynecologic cancer
• Chronic pelvic pain
• Abnormal vaginal bleeding
For other conditions vaginal hysterectomy is one of several possible treatment options. Though, this kind of operation is relatively safe, there are a number of risks associated with it:
• Possible infections
• Blood clots
• Damage to some surrounding organs
• Bad reaction to anesthesia
• Heavy and severe bleeding during or after operation
Women who suffer from obesity have higher chances of getting these risks and complications. After this operation a woman will not have periods and won’t be able to conceive. If the ovaries were not removed during a procedure you’ll have menstruations until the menopause. If they were removed, then you will reach menopause at once after your surgery. The period of recovery in vaginal hysterectomy is shorter and less painful than in abdominal hysterectomy. After the procedure your mood will become better, you’ll feel more self-satisfaction and will not experience heavy and severe bleeding or pelvic pain anymore. This operation brings women more pleasant feeling during sexual intercourse, maybe because they no longer are afraid to become pregnant.