Hysterectomy is the surgical removal of a woman’s uterus. This operation can be performed with different techniques, including removal of the uterus only, removal of the uterus together with the tubes and/or ovaries (ovaries). When the uterus is removed, menstruation stops and natural pregnancy is not possible.

In which cases is hysterectomy necessary?

Hysterectomy is usually preferred in cases that do not respond to other treatments or pose a risk to life. This operation may be considered in the following cases:

Myomas (Uterine Fibroids)

They are benign tumors that develop in the uterus. Large fibroids may need to be removed if they cause excessive bleeding, pressure or pain.

Abnormal Uterine Bleeding

Persistent and heavy bleeding that cannot be controlled with medication can lead to hysterectomy.

Endometriosis

This disease, which occurs when intrauterine tissue grows outside the uterus, can lead to problems such as painful menstrual periods and infertility. In advanced cases, the uterus may need to be removed.

Uterine Prolapse (Uterus Prolapse)

It is a condition in which the uterus prolapses into the vagina due to childbirth, aging or genetic predisposition. In severe cases, surgical removal of the uterus may be necessary.

Suspicion or Diagnosis of Cancer

In the case of cancer of the uterus, cervix, ovaries or endometrium, a hysterectomy becomes mandatory due to the risk to life.

Chronic Pelvic Pain

Chronic pelvic pain of undetermined cause, which severely impairs quality of life, can be terminated by hysterectomy if all other treatments fail.

How is hysterectomy surgery performed?

Hysterectomy is performed by open (abdominal), vaginal, laparoscopy (closed) and vaginal laparoscopy (vNOTES). The method of hysterectomy is decided according to the patient’s health condition, the size of the uterus and the surgeon’s preference.

What happens after hysterectomy?

• Menstruation stops: The woman no longer menstruates.
• Fertility ceases: Pregnancy is not possible.
• Transition to menopause: If the ovaries are removed, early menopause occurs.
• Quality of life improves: When the symptoms disappear, the patient usually has a more comfortable life.