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Types of Hysterectomy

A hysterectomy is the surgical removal of all or part of the uterus, or womb. The doctor may also remove the fallopian tubes, ovaries and/or the cervix during the same surgery. He or she may use one of the following terms to help describe the organs removed during surgery:

  • A supracervical hysterectomy removes the uterus but leaves the cervix in place, which some research suggests may reduce the risk of pelvic organ prolapse and preserve sexual function. This is sometimes referred to as “partial hysterectomy.”

  • Total or “traditional” hysterectomy removes the uterus and cervix.

  • A radical hysterectomy may remove all of these organs (the uterus, cervix, fallopian tubes, ovaries), plus the pelvic lymph nodes.

There are 3 different ways to perform hysterectomies:

  • Abdominal (also known as Open): this hysterectomy method requires a 4- to 8-inch horizontal incision below the belly button to remove the uterus and cervix and, in some cases, other organs.

    The most invasive kind of hysterectomy, this type is performed under general anesthesia, with a typical hospital stay of 3-6 days and up to 6 weeks of recovery time.

  • Vaginal: this hysterectomy method uses a smaller incision inside the vagina to remove the uterus and other organs, as determined by your doctor. This incision is not visible externally.Vaginal hysterectomies usually require a 1-3 day hospital stay and up to 4 weeks’ recovery time.

  • Laparoscopic: with this hysterectomy method, a thin, lighted, telescope-like instrument called a laparoscope along with small surgical instruments are inserted through 3 to 4 tiny incisions in the navel and abdomen to detach and remove the uterus. There are different types of laparoscopic hysterectomies. Based upon your clinical need, your doctor might perform a laparoscopic supracervical hysterectomy (LSH), allowing you to keep your cervix, or a total laparoscopic hysterectomy (TLH).

    Unlike more traditional methods, laparoscopic hysterectomy usually requires only 1 day or less in the hospital and only 6 days of recovery time. Patients also experience less scarring and pain compared to other hysterectomy methods.

Know your hysterectomy options

 
What is it?
Hospital stay
Recovery time
Pain and scarring
Abdominal Hysterectomy
Uterus, cervix and sometimes other organs are removed via a 4- to 8-inch horizontal incision below the belly button
3-6 days
4-6 weeks
Possibility of severe pain and scarring
Vaginal Hysterectomy
Uterus, cervix and sometimes other organs are removed via a smaller incision inside the vagina
1-3 days
4 weeks
No visible scarring; can be painful during recovery
Total Laparoscopic Hysterectomy (TLH)
A device called a laparoscope is inserted through 3-4 tiny incisions in the abdomen to detach and remove the uterus
1 day or less
6 days
Minimal recovery, pain and scarring
Laparoscopic Supracervical Hysterectomy (LSH)
A specific type of laparoscopic hysterectomy in which the cervix is left in place
1 day or less
6 days
Minimal recovery, pain and scarring; retaining the cervix may help pelvic floor support and preserve sexual function


 

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