Vaginal Hysterectomy

Vaginal hysterectomy removes the uterus through the vagina without a large abdominal incision. It may be recommended for certain gynecological conditions after a review of your symptoms, medical history and examination.

What Is Vaginal Hysterectomy?

The surgeon removes the uterus, usually together with the cervix, through an incision inside the vagina. Abdominal hysterectomy uses an incision in the abdomen. Removing the ovaries is a separate decision discussed before surgery. After hysterectomy, menstrual periods stop and you cannot carry a pregnancy.

When Is Vaginal Hysterectomy Recommended?

It may be considered for uterine prolapse, certain uterine fibroids, abnormal uterine bleeding that has not responded to other treatments, and selected benign gynecological conditions. Suitability depends on individual evaluation, including uterine size, previous surgery and other health conditions. Your doctor will discuss alternatives.

Benefits of Vaginal Hysterectomy

Potential benefits include no visible abdominal incision, less postoperative discomfort in suitable cases, a shorter hospital stay for some patients, faster recovery than some abdominal procedures, and fewer abdominal wound complications. Benefits and recovery vary; specific outcomes cannot be guaranteed.

How Is the Procedure Performed?

The operation is performed under general or spinal anesthesia. The surgeon makes an incision inside the vagina, separates the uterus from its supporting tissues, removes it and closes the incision with stitches. After surgery, the team monitors your recovery, pain and bleeding. A temporary urinary catheter may be used.

Recovery After Vaginal Hysterectomy

Recovery takes several weeks and varies with your health and the extent of surgery. Begin gentle walking as advised and gradually increase activity. Avoid heavy lifting, strenuous exercise and vaginal intercourse until your surgeon confirms it is safe. Take prescribed medicines and attend follow-up appointments. Seek medical advice for fever, heavy bleeding, worsening pain or difficulty passing urine; chest pain or breathlessness needs urgent care.

Risks and Considerations

Risks include bleeding, infection, blood clots, injury to nearby organs such as the bladder or bowel, and anesthesia-related complications. Occasionally another surgical route is needed. Your surgeon will explain individual risks, alternatives, and whether removal of the ovaries is appropriate. Removing both ovaries before natural menopause causes surgical menopause.

Vaginal Hysterectomy Consultation at Shishira Maternity Clinic

Dr. Bhanu BT is a Senior Consultant and Laparoscopic Surgeon at Fortis Hospital, Yeshwanthpur, with experience in gynecological care and surgical management. A consultation at Shishira Maternity Clinic can help you understand your condition, treatment options and whether vaginal hysterectomy is suitable for you.

Frequently Asked Questions

What is vaginal hysterectomy?

It is an operation to remove the uterus through an incision inside the vagina.

Is vaginal hysterectomy a major surgery?

Yes. It requires anesthesia and postoperative care, even though there is no large abdominal incision.

How long does recovery usually take?

Recovery usually takes several weeks. The vaginal route can allow earlier recovery than abdominal surgery, but your surgeon will advise when to return to work, exercise and other activities.

Who may be suitable for vaginal hysterectomy?

Some patients with uterine prolapse, fibroids or persistent abnormal bleeding may be suitable. Examination and medical evaluation are needed to choose the safest approach.

Can pregnancy occur after a hysterectomy?

You cannot carry a pregnancy after the uterus has been removed. Discuss fertility wishes and alternative treatments with your doctor before surgery.