Hysterectomy (Removal of the Uterus)

It is an organ in which the pelvic bone is surrounded (pelvis), consisting of smooth muscle, and in which the baby develops during pregnancy. It delivers the baby by contracting during labor. If there is no pregnancy, the layer covering the inside of the uterus (endometrium) is excreted every month as menstrual bleeding. Hysterectomy is the operation of taking the uterus.

What is Hysterectomy?

It is the surgical removal of the uterus. It is one of the most frequently performed surgeries in female-to-male transition operations and gynecological diseases. Some of the causes of hysterectomy are:

  • For the Transition from Female to Male
  • Myomas (high density tumor that develop from the flat muscle of the uterus)
  • Endometriosis
  • Abnormal bleeding
  • Womb-induced pain that lasts long and does not respond to treatments
  • Uterine prolapse
  • Cancer
  • Uterine surgery does not involve removing the ovaries and tubes.

Types of Hysterectomy

The type of surgery varies depending on the examination findings, the disease causing the surgery, and the doctor’s choice.

Abdominal Hysterectomy (Removal of the womb from the abdomen): An incision starting from the skin is made to reach the uterus in the lower abdomen. Depending on the size of the uterus and the reason for the operation, the incision may be horizontal or vertical. Approach to the abdomen requires longer recovery time than other types of hysterectomy. However, it also has some advantages. In this type of hysterectomy, the doctor can better see and evaluate the uterus and some other intra-abdominal organs. It is a good way to suspect cancer, especially in large products.

Vaginal Hysterectomy (Removal of the uterus via Vagen): In this method, there is no incision in your abdomen. Since the incision is in the vagen, the recovery time is shorter than the hysterectomy of the abdomen.

Laparoscopic Hysterectomy: The operation is done partially or completely by means of a device called laparoscope. Laparoscope is a thin instrument consisting of a luminous and lens system. It is inserted into the abdomen through a small incision (usually around the navel). The doctor sees the patient’s abdominal organs enlarged with the help of a laparoscope. A few more small incisions are made to introduce surgical instruments. The operation time is longer than the abdominal and vaginal hysterectomies, and the recovery period of the patient is shorter.

What To Do Before Hysterectomy

You will be asked for some tests (such as blood, urine, lung film, heart graph – ECG) to prepare for surgery.

Again, during the preparation phase, parts can be taken from the uterus.

Enema can be performed the night before and / or the morning of the operation.

Antibiotics are used to prevent infection.

A plastic needle is attached to your vein from the hand or arm to give the necessary fluids during and after surgery.

In order to be comfortable during the operation, general (asleep) or local (waist) anesthesia is applied depending on your situation.

A thin tube (urine catheter) is placed in your bladder so that we can monitor your condition and adjust the amount of fluid.

Alerts

Generally, they are the risks that can be seen in major surgical procedures. These:

The development of a clot in the vein or lungs of the balls or clotting in them (venous thrombosis, thromboembolism)

  • Infection
  • Bleeding during or after surgery
  • Injury to organs adjacent to the surgery area (such as bladder, urinary tract, intestines)
  • Laziness in the intestine after surgery (ileus, subileus)
  • Anesthetic problems
  • If your ovaries are removed, menopause
  • Improvement

Patients with hysterectomy stay in the hospital for a few days. The length of hospital stay varies depending on the type of surgery, whether a problem develops during or after surgery.

You should walk as early as possible after surgery. Walking will help regulate your blood circulation and will help prevent clot development in your veins. If you are in the risk group, you will also be given medication to prevent clot development.

Know that you may have pain a few days after surgery. Rest speeds up your recovery. If your doctor does not have any additional recommendations, do not apply anything to the vagene for six weeks after surgery (such as a shower, sexual intercourse, tampon), do not lift heavy, do heavy work. Even if you feel well before the end of six weeks, do not act in the opposite direction without your doctor’s control and suggestions.

As you get better, you can gradually increase your activities such as light physical activities, sports, driving.

Having a hysterectomy does not mean that you will no longer have routine controls gynecologically. Pap-test scans will continue if your cervix stops or you have had a hysterectomy due to a cancer-cancer precursor disease.

Effects of Hysterectomy

Hysterectomy can affect you spiritually and physically. This effect can be short or long lasting.

Physical Effects: You will not have menstruation after hysterectomy. If your ovaries stop, it continues to secrete hormones, but you can no longer conceive because you have no uterus. If you are in the period before menopause and your ovaries are removed, effects related to the removal of hormones (menopausal findings) are seen. If you are under 45 and your ovaries are removed, you may be at risk for early osteoporosis (osteoporosis). Your doctor will have recommendations for your menopausal complaints and prevention of osteoporosis.

Mental Effects: Many women respond spiritually to the loss of the uterus. The size and duration of these responses depends on some factors and varies from woman to woman. Some women are depressed because they can no longer have children. Some women feel relieved because of the disappearance of their complaints that cause surgery. If the negative effects persist, you should seek help from your doctor.

Sexual Effects: Some women state that their sexual lives have changed after hysterectomy. Since the uterus is removed, the uterus will not contract during orgasm. Sexual intercourse without a fear of pain, excessive bleeding makes many women happy after hysterectomy. If the ovaries are not removed, the vagen and external genitals are not affected by hysterectomy, as they will continue to secrete hormones. If the ovaries are removed with the uterus, vaginal dryness may be a problem during sexual intercourse. Estrogen or other lubricants can prevent dryness, consult your doctor.

As a result…

Hysterectomy is a way to change gender and treat uterus problems. It should not be forgotten that hysterectomy is a major surgical intervention. Before deciding on the surgery, think once again about your own condition, other treatment options, how hysterectomy can affect you.

While some treatment options are suitable for some conditions, the best option in others is hysterectomy. You can ask our doctor for help in making this decision.

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