HYSTERECTOMY

What is a hysterectomy?

The uterus, also known as the womb, is where the foetus grows when a woman is pregnant. A hysterectomy is a surgical procedure in which the uterus is removed. Women have their uterus removed ether because they no longer want to conceive a child, or as treatment for chronic pain conditions, cancer or other gynaecological conditions.

What does a hysterectomy involve?

A hysterectomy usually involves the removal of the uterus, however the type of hysterectomy will depend on your individual case. There are different types that Dr Mutanda-Musoke may perform:

  • A partial hysterectomy involves the removal of a portion of the uterus while leaving the cervix intact.
  • A total hysterectomy is a surgical procedure in which the uterus and cervix are removed.
  • In some cases a salpingoophorectomy is performed in conjunction with a hysterectomy. In this procedure the ovaries and fallopian tubes are removed in addition to the uterus. Because the ovaries produce oestrogen, hormone replacement therapy will be needed following this procedure.

All these procedures can be done laparoscopically in which small cuts are made and a tiny camera is inserted to view the organs and remove the fallopian tubes or ovaries.

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Why should I have a hysterectomy?

Depending on a range of factors such as age, condition and the influence of the condition on your quality of life, Dr Mutanda-Musoke may suggest a hysterectomy to treat a specific condition you are suffering from. When alternative treatments are unsuccessful, a hysterectomy is sometimes the best and only remaining option. Conditions that may require this surgery include:

  • Uncontrollable vaginal bleeding
  • Cancer of the uterus, cervix, or ovaries
  • Benign tumors (fibroids) in the uterus
  • Pelvic inflammatory disease
  • Uterine prolapse
  • Endometriosis
  • Adenomyosis

Otherwise, a hysterectomy is usually performed to sterilise, prevent future pregnancies and end future menstruation. As an alternative, endometrial ablation can be considered in which the endometrial lining of the uterus is destroyed and menstruation then ceases. Dr Mutanda-Musoke will be able to assess if you are a candidate for this alternative.

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