Vaginal hysterectomy is a surgical procedure in which the uterus, and sometimes the ovaries and tubes , is removed . Recently, they began to resort to this operation very often, but still some doctors are against it. Their opinion is based on the fact that if a woman’s life is not in danger, then a hysterectomy is superfluous. Another group of doctors assure that upon reaching a certain age, the uterus ceases to be a useful and necessary organ, but only becomes a source for the spread of infections.
Vaginal hysterectomy of the uterus is the so-called golden mean among all other types of this surgical intervention. During the operation, an incision is made in the upper part of the vagina, through which the uterus is removed. As a rule, it is performed only in women giving birth. Mainly due to the fact that their vagina is already dilated and the removal of the uterus will be facilitated.
Vaginal hysterectomy. Indications for
- During menopause , uterine fibroids appeared.
- Internal endometriosis.
- Gender change.
- Strong prolapse or prolapse of the uterus.
- A large number of benign tumors of the ovaries and uterus.
- Bleeding as a result of endometrial diseases.
pros
- After this operation, no scars remain on the patient's body.
- Blood loss is minimal.
- There is a quick recovery of physical condition.
- Few complications and minimal deaths.
Contraindications
- Inflammatory diseases of any organ in the entire body system.
- Large size of the uterus.
- A history of cesarean section and adhesions formed after it.
- A disease that requires examination of the organs of the entire abdominal cavity.
But, despite the fact that the vaginal hysterectomy has such a number of positive moments compared to other types of uterine removal, only one third of the operations are performed with this method.
A vaginal hysterectomy is performed only if there are all the necessary conditions for this, namely: the absence of cancer, the uterus is small , the walls of the vagina are flexible.
Vaginal hysterectomy. Effects
- Postoperative fever.
- Bleeding.
- Peritonitis.
- The development of purulent processes in hematomas.
- Prolapse of the vagina.
- The formation of adhesions.
- Backache.
- Urinary incontinence.
- Perhaps the appearance of signs of menopause.
- Infection on the wound surface.
- Thromboembolism.
- Intestinal prolapse through the vagina.
- Nausea.
- The development of osteoporosis.
- Violation of the libido.
- Joint pain.
- Extinction of ovarian function.
After surgery for several weeks, a woman needs to visit a doctor for an examination. As a rule, restoration of the body occurs after 1.5-2 months.
Most doctors recommend performing an operation to remove the uterus only after the onset of menopause, since when it is performed at an earlier time, serious complications can occur. In addition to mental disorders that women experience before menopause, they lose their desire for sex. Many have a fear that a vaginal hysterectomy will make them sexually unattractive.