Hysterectomy

"This intervention is indicated in various ailments, such as uterine tumors, cervical cancer, uterine cancer or severe cervical dysplasia, ovarian cancer, endometriosis, etc."

DR. JOSÉ ÁNGEL MÍNGUEZ
SPECIALIST. GYNAECOLOGY AND OBSTETRICS DEPARTMENT

A total hysterectomy is the complete surgical removal of the uterus, i.e. the body and the cervix.

If the cervix is preserved, removing only the body, then we speak of a subtotal or supracervical hysterectomy.

Currently, most hysterectomies are performed laparoscopically. This has great advantages in terms of reducing complications and patient recovery.

In the Clinic there is also the possibility of performing this treatment by means of robotic surgery. We are one of the few Spanish centers that have experience in this type of technology.

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When is hysterectomy indicated?

The intervention is indicated in various conditions, such as uterine tumors, cervical cancer or severe cervical dysplasia, ovarian cancer, endometriosis, severe and prolonged vaginal bleeding, uterine prolapse, etc.

Do you have any of these diseases?

You may need to have a hysterectomy

How is a hysterectomy performed?

This is a surgery that is performed under general anesthesia and can be approached in several ways.

Specifically, the abdominal route is generally used for uteruses that present large tumors or those of a malignant nature.

On the other hand, through the vaginal route, in most cases, tumors, whether benign or malignant, and uterine prolapse are intervened.

The laparoscopic route is usually used to remove the lymph nodes in cases of cancer of the body or cervix.

Hysterectomy requires a subsequent hospitalization period of less than 5 days, which is reduced to 2 or 3 days if the intervention has been performed vaginally or laparoscopically.

If everything passes normally, the recovery time is approximately 1 month.

With this type of surgery, you will not have an incision in your abdomen. Because the incision is inside the vagina, the healing time is shorter than with abdominal surgery. Recovery may also be less painful. Increasingly, laparoscopically guided vaginal hysterectomy is being performed. 

Vaginal hysterectomy produces fewer complications than other types of hysterectomy and is a very safe way to remove the uterus. In addition, hospitalizations are shorter and the ability to resume normal activities is faster than with an abdominal hysterectomy.

However, a vaginal hysterectomy cannot always be performed. For example, women with adhesions from previous surgeries or very large uteruses may not always be candidates for this type of surgery.

As a consequence of the extraction of the uterus, the patient is totally unable to achieve a pregnancy. Likewise, she will no longer be able to menstruate because the organ that produces it is missing.

In any case, the sexual response does not have to be modified, but there are cases in which it is modified due to bad information.

If the ovaries are removed in a post-menopausal woman, it is not usually necessary to carry out treatment with hormone replacement therapy if it was not necessary before the intervention. In addition, if she had surgery for a hormone-dependent tumor (cancer of the body of the uterus), hormone therapy is contraindicated.

If the ovaries are preserved, no hormonal or metabolic disorder will occur.

Where do we do it?

IN NAVARRA AND MADRID

The Department of Gynecology and Obstetrics of the
of the Clínica Universidad de Navarra

Comprehensive care that includes a wide range of consultation and treatment options from regular preventive screening to the most advanced diagnostic and treatment options for obstetric and gynecological problems at all ages.

The department also offers routine pregnancy monitoring that includes a variety of diagnostic and screening procedures to identify potential problems of the fetus as well as its proper growth and development.

Diseases we treat

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Why at the Clinica?

  • Highly specialized team of doctors, nurses and midwives.
  • Reproduction and Fertility Unit.
  • Pregnancy follow-up with a personalized delivery.
  • All the comfort, with the guarantee and safety of a hospital with the most advanced equipment.

Our team of professionals

Safer than ever to continue taking care of you

We update safety protocols weekly with the latest scientific evidence and the knowledge of the best international centers with which we collaborate.