A hysterectomy involves removal of the uterus, one of the reproductive organs. The uterus is the storage area for menstrual blood, which is released every month during the menstrual cycle. Sometimes, there can be problems with menses leading to heavy or irregular periods that can significantly decrease the quality of life for a woman. In other cases, the uterus can cause pain or have abnormal growths that are precancerous.
There are many ways a uterus can be removed, through incisions made on the abdomen, or in the vagina. In these times, a hysterectomy can be accomplished through small incisions on the abdomen, through the vagina, or through a larger incision, depending on the situation. The uterus is attached to the cervix, and a woman can choose to have either a total or complete hysterectomy (removal of uterus with the cervix) or a subtotal or supracervical hysterectomy (removal of uterus only, leaving the cervix in place). The correct operation is performed after adequate consultation with your physician.
Myomas, or fibroids, can commonly grow inside the uterus and cause all kinds of symptoms that are uncomfortable and unhealthy. In some women, these smooth muscle growths hinder their efforts to become pregnant, or significantly decrease the quality of life. A myomectomy is removal of the fibroids form the uterine muscle. It can be accomplished through incisions made on the abdomen, even through minimally invasive methods. Myomectomies are an important option for patients that want to preserve their fertility or their uterus.
Oophorectomy refers to the removal of the ovary. This is important if a woman is worried about an ovarian cyst or other pathology pertaining to the ovary. One or both ovaries can be removed, depending on the condition. Some disease processes that can affect someone with ovarian cysts include endometriosis, teratomas, or ovarian cancer. If someone has significant family history of ovarian and/or breast cancer, they can certainly choose to remove their ovaries to avoid problems in the future. Such procedures should be planned after speaking with your physicians.
The word laparoscopy comes from the Greek words that mean, "look into the abdomen." A laparoscope is a small telescope that is inserted into the abdomen through a small incision (cut). IT brings light into the abdomen so the doctor can see inside. Laparoscopy is usually done on an outpatient basis, which means that there is no hospital stay overnight.
Besides using the laparoscope to look into the abdomen to diagnose a problem, your doctor can use it for treatment as well. For some procedures, laparoscopy has replaced the need for laparotomy. Laparotomy involves opening the abdomen through large incisions to operate on reproductive organs. Laparoscopy is a novel method to accomplish the same surgeries with smaller incision leading to faster recovery times and decreased length of hospital stay. Dr. Yousry has been specially trained in laparoscopy and other minimally invasive techniques, and is available for consultation if you desire a laparoscopic procedure.
A hysteroscopy involves inserting a camera through the cervix to look inside the uterine cavity. It can be useful if a woman has abnormal bleeding, a suspected endometrial or cervical polyp, or a fibroid that is submucosal or protrudes into the uterine cavity. A hysteroscopy is a minor procedure and often does not require an overnight hospital stay. It is a useful tool to diagnose and treat certain conditions, and minimizes the invasiveness of other procedures.
Robotic surgery is state of the art, and involved using the daVinci robotic system to perform procedures through small incisions. It is an extension of laparoscopy, and enables the surgeon to do complex procedures with more ease. It should only be performed by those who are specially trained and only in special circumstances. Ask your physician if you qualify for robotic surgery.
Pelvic support problems occur when the tissues that support the pelvic organs are stretched and damaged. This allows the organs that they support to sag out of place. If the tissues that support the urethra, bladder, uterus, and rectum are weakened, these organs may drop. This may lead to urinary incontinence or difficulty passing urine.
The most common cause of incontinence in women is lack of support at the bladder neck. Sub- urethral sling procedure can be done to correct this type of incontinence.
Your blood and urine will be tested. You may be given one or more enemas. Your abdominal and pelvic areas may be shaved. Antibiotics may be given to prevent infections. A needle may be placed in your arm or writs. It is attached to a tube that will supply your body with fluids, medication, or blood. This is called an IV line. ) Monitors will be attached to your body before anesthesia is given. You may be given a general anesthesia, which puts you to sleep, or a regional one, which blocks out feeling in the lower part of your body.
The length of stay in the hospital after surgery varies by the type of procedure done. You can expect to have some pain for the first few days. Normal activities, including sex, can be resumed in a bout 4-6 weeks in most cases. Meanwhile, do not place anything in the vagina.
After a hysterectomy, a woman's period will stop. She can no longer get pregnant. The ovaries still produce eggs. But, because the eggs are not fertilized, they dissolve in the abdomen. If the ovaries are left in place, they still produce hormones. A woman who still has her ovaries will not have the symptoms that often occur with menopause, such as hot flashes. If the ovaries are removed, menopausal symptoms (hot flashes, night sweats, mood swings, vaginal dryness) may be felt post-procedure.