Hysterectomy: Procedure, Benefits, Risk and Recovery

Best healthcare centre for hysterectomy surgery in India

Pristyn Care has a team of trained, devoted, and highly trusted gynecologists who can provide hysterectomy surgery with precision, compassion, and integrity. Pristyn Care is one of the most sought-after healthcare units for hysterectomy at an affordable cost.

Pristyn Care is a leading hysterectomy clinic in India that is well-known for its high and top-notch results. We are associated with the best hospitals in India equipped with modern medical equipment and state-of-the-art infrastructure that facilitates uterus removal surgery without any risks and complications. Our specialist gynecologists and hysterectomy surgeons bring a wealth of experience in their respective domains, thus making your uterus removal surgery experience an exceptionally satisfying one.

What happens in Hysterectomy (uterus removal surgery)?

As stated above, in a hysterectomy (uterus removal surgery), the gynecologist removes the uterus and other parts of the female reproductive organs, including the cervix, fallopian tubes, and sometimes even the ovaries. 

Before hysterectomy is performed, the doctor will ask the patient to change into a hospital gown and track her heart rate.

The surgeon will insert an intravenous line to inject injections and medicinal fluids.

An anesthesiologist will sedate the patient with general, local, or spinal anesthesia, to ‘block’ pain during the surgery.

Depending on the reason for the hysterectomy, a surgeon may remove only the uterus or other parts of the reproductive organs. Depending on the organs that are removed, hysterectomy can be of the following types:

1. Total hysterectomy – The whole uterus and cervix is removed in this procedure, leaving the ovaries.
2. Supracervical hysterectomy – The upper part of the uterus is removed, leaving the cervix.
3. Radical hysterectomy – The whole uterus, tissues on the sides of the uterus, the cervix, and the top part of the vagina are removed. 

Depending on the patient’s health problem, the gynecologist will discuss which type of hysterectomy needs to be performed.

The gynecologist may adopt different surgical approaches to perform hysterectomies.

Vaginal hysterectomy

• No external incision is made in the procedure. The uterus is removed through an incision made at the top of the vagina.
• The hysterectomy doctor will use dissolvable stitches placed inside the vagina. 
• It is a daycare treatment and the patient can go home the same day.
• Vaginal hysterectomy is performed mainly for uterine prolapse and to treat any non-cancerous conditions.

Laparoscopic hysterectomy 

• A small incision is made in the belly button through which the doctor inserts a laparoscope to the lower abdomen.
• A few small incisions are also made through which the doctor inserts surgical tools. 
• The uterus is removed either through the incision made in the abdomen or the vagina.
• The procedure does not require more than one day of hospitalization.

Abdominal hysterectomy (Open hysterectomy)

• A 6-8 inches long incision is made in the abdomen either from the belly button or the pubic bone.
• The uterus is removed through this incision.
• Once the organs are removed, the incisions are closed with stitches or staples.
• The procedure requires a longer hospital stay (2-3 days) than the above-mentioned methods.

Robotic hysterectomy

• The procedure is performed with the help of a robotic machine. 
• A laparoscope is inserted into the abdomen to view the internals.
• Approximately 3-5 incisions are made around the belly button through which the surgeon controls the robotic instruments.

How to prepare for a uterus removal surgery (hysterectomy)?

Here are a few tips that can help you ease your worries and seamlessly undergo hysterectomy.

• Gather information – The best way to prepare for a hysterectomy is to gather as much information as possible before the surgery. Make sure you understand the procedure and how it will impact your overall health in the coming days.
• Stop smoking and drinking alcohol – Reducing smoking and alcohol consumption can prevent adverse reactions from anesthesia and ensure a smooth recovery.
• Discuss your medical health and medications with your doctor – If you are taking any medication, discuss with your doctor whether you need to change your routine medication before a hysterectomy. If you have any underlying disease that may adversely affect the outcome of your hysterectomy, discuss with your doctor.
• Drink lots of healthy fluids before the hysterectomy – Drinking a lot of fluids shall keep you hydrated and prevent constipation, a common discomfort associated with the surgery.
• Plan your recovery ahead of the surgery – Plan and prepare for your recovery in advance. Get somebody to drive you home after the surgery or help you with the household tasks as you rest post-surgery.
• Eat light and relax a night before the hysterectomy – Limiting consumption of a heavy diet can help you before and after the hysterectomy. Don’t panic. The anticipation of getting the uterus removed can be stressful for many women. But you need to understand that stress can adversely affect the immune system and in turn delay the recovery process.

When is hysterectomy (uterus removal surgery) is required?

Hysterectomy (uterus removal surgery) could be a feasible treatment for any female who suffers from any of the following health conditions:

• Severe menstrual pain that cannot be controlled by medicines or any other treatment methods.
• Abnormal vaginal bleeding that is not controlled by other treatment methods.
• Uterine fibroids (non-cancerous uterine tumors)
• Unusual increased pelvic pain associated with the uterus
• Uterine prolapse that causes urinary incontinence or difficulty passing a bowel movement.
• Cervical or uterine cancer

Uterus Removal Surgery (Hysterectomy) Benefits

A hysterectomy (uterus removal surgery) can improve your overall quality of life.

For females dealing with uterine fibroids, abnormal periods, endometriosis, and adenomyosis, a hysterectomy can be a beneficial procedure to eliminate the chronic pain associated with the conditions. 

Hysterectomy can also provide relief from unexpected and heavy vaginal bleeding.

Hysterectomy can be a very significant part of the treatment plan for women undergoing surgery due to cancer.

How will I feel after getting a hysterectomy (uterus removal surgery)?

You are likely to experience physical and emotional changes after the uterus removal. After a hysterectomy, you will stop having periods. You may experience bloating, abdominal cramps, and other symptoms similar to menstruation. Occasionally, you may experience vaginal bleeding and vaginal discharge for a few weeks after the surgery.

For the next few weeks after the hysterectomy (uterus removal surgery), you may feel swelling, redness, itching, and a burning sensation around the incision site. There may be slight scarring, internally and externally as well. However, in case the hysterectomy surgery is performed via a laparoscopic approach, the size of the scars will be much smaller.

You will not experience any mood swings or hormone-related effects if the ovaries remain intact. In case the ovaries are removed, the woman might experience symptoms that occur with menopause, such as hot flashes and trouble concentrating.

There might be an outburst of emotional changes, too, but that depends on how you have prepared yourself before the uterus removal surgery. If you know the changes and reactions before the surgery, the emotional changes shall be short-termed. This also depends on your reason for undergoing hysterectomy. If you choose to get the uterus removed to treat any severely painful conditions, the surgery can improve your health and well-being to a great extent. In that case, the emotional changes are likely to be positive.

What is the cost of Hysterectomy (Uterus Removal Surgery) in India?

The approximate cost of hysterectomy (Uterus Removal Surgery) in India is Rs.106000 . But, as with any other surgery, the specific price may increase or decrease a little depending upon the technique of your hysterectomy, the parts removed, your choice of the gynecologist, their years of experience, hospital vicinity, and other medical and non-medical expenses.

The most common factors that affect hysterectomy cost include:

• Consultation charges of the gynecologists
• Experience of the gynecologists
• Preference of hospital (Government or Private)
• Type of surgery to be performed
• Cost of pre-operative tests
• Medication charges
• Anesthesia charges
• Follow-up consultation charges

Consult with best Gynecologist at Pristyn Care and Get the cost estimate of hysterectomy (Uterus Removal Surgery).

Advantages And Disadvantages Of Hysterectomy Or Uterus Removal Surgery

Deciding to have uterus removal is an important and emotionally difficult decision. It would result in the loss of fertility. It is always better for the patients to have a minimally invasive hysterectomy as recovery is faster than open. Also, each method has its own limitations. Look carefully at the advantages and disadvantages of hysterectomy.

Advantage of Uterus Removal Surgery (Hysterectomy)

• The primary reason why women undergo hysterectomy is to get rid of the abnormal bleeding. Abnormal bleeding can be irritating, draining and uncomfortable. But these days there are other treatments available for this condition, such as uterine balloon therapy. But this might not work in all cases.
• It prevents the possibility of future uterine cancer. Many women who have had cancerous growths, or who have a family history of them, choose to have a hysterectomy in order to prevent future problems. A hysterectomy can literally be a lifesaver for some of these women.
• It is used to treat uterine prolapse, which is a condition in which the uterus descends into or beyond the vagina.
• It solves the problem of uterine fibroid or growths. These can cause great discomfort, as when a woman suffers from endometriosis, a hysterectomy can bring great relief. However, nowadays there are many alternative treatments, such as hormonal treatments and balloon uterine therapy that can be used to treat these conditions.
• Above all, laparoscopic hysterectomy has advantages over traditional procedures. There is no blood loss and fewer complications. The procedure takes less than an hour and the patient can get back to home the same day. All this leads to fast recovery.

Disadvantages of Uterus Removal Surgery (Hysterectomy)

• A hysterectomy is a major surgical procedure that involves significant recovery time, discomfort, and, like all surgery, a small risk of death; especially abdominal hysterectomy (as it involves long incisions).
• Studies have shown that the removal of the ovaries can bring about health problems of their own. The ovaries carry on producing hormones, such as estrogen, ovarian testosterone and androstenedione years after the menopause. Preserving the ovaries appears to reduce women’s risk for heart disease and hip fracture.
• The emotional impact of having a uterus removed is often huge. If hormone therapy or other treatment can be used to prevent radical surgery, it would prevent emotional problems that some women experience after having a hysterectomy.
• A complete hysterectomy may necessitate the taking of hormone replacement therapy (HRT). While several studies have found HRT in the short term to be beneficial, long-term use of HRT may bring about health problems of its own.
• There are many women who encounter sexual dysfunction. It puts a pause on sex life for some time. If the ovaries are removed, your sexual desire decreases. That is because your ovaries produce testosterone and estrogen.

How to Recover After Hysterectomy

Patients need to take some specific measures to fast-track recovery after a hysterectomy surgery and minimize the risk of post-surgical complications. These include taking precautions and making lifestyle adjustments as suggested by the doctor. Here are some general tips for a faster recovery after hysterectomy:

Manage pain and discomfort: It is normal for patients to experience post-surgical pain and discomfort. To ease the discomfort, they should take the prescribed pain medication and use heating pads or ice packs as necessary. Proper wound care instructions should also be followed to minimize the risk of infection.

Take the doctor’s instructions carefully: The doctor provides specific recovery guidelines following the procedure. Patients should carefully follow these instructions, which may include adhering to medication schedules, making the necessary dietary restrictions, etc. 

Maintain proper hydration: Staying well-hydrated by consuming an adequate amount of water during the recovery period after a uterus removal surgery is crucial. Sufficient hydration can help prevent constipation, aid in healing, and contribute to overall well-being.

Eat a balanced diet: A nutritious diet plays a vital role in the recovery after a uterus removal surgery. Patients should focus on consuming foods that are rich in vitamins, minerals, and fiber. Including lean proteins, fruits, vegetables, whole grains, and healthy fats can really help in the recovery process and help maintain their overall health. 

Allow for ample rest: Patients should prioritize adequate rest and give the body the time it requires to recover fully. They must avoid heavy lifting, strenuous activities, and household chores until they are fully recovered or as advised by the doctor. Listening to the body’s signals and gradually increasing activity levels are recommended.

Gradually increase physical activity: Starting with gentle activities like short walks, as directed by the doctor, is advised. Patients can gradually increase their activity level over time but should avoid heavy lifting or intense exercises until receiving clearance from the doctor.

Opt for loose and comfortable clothing: Wearing loose-fitting clothes that don’t exert pressure on the incision site can be really helpful in preventing or easing discomfort after a uterus removal surgery. Patients must wear breathable fabrics and loose-fitting clothes. 

Maintain good posture: Practicing proper posture while sitting, standing, and walking helps minimize strain on the abdominal muscles and supports healing.

Attend all follow-up appointments: It is essential to attend all scheduled follow-up sessions with the doctor. These appointments monitor progress, address any concerns, and identify potential complications.

By following these recovery tips, patients can speed up their healing process and ensure a smooth recovery after hysterectomy surgery.

Faster Recovery after All Type of Hysterectomy

To recover after a uterus removal surgery, patients need to take some precautions and follow specific guidelines. The duration of recovery varies for each individual, depending on factors such as surgical techniques employed and the patient’s overall health. Additionally, the length of hospital stay may differ from patient to patient.

Recovery After a Laparoscopic Hysterectomy

The patient may typically be discharged home within 1 to 3 days following a thorough assessment of their condition. It usually takes about 4 to 6 weeks for complete recovery, and most women are able to resume work after this period. It’s important to note that the recovery time for an abdominal hysterectomy surgery may be longer compared to a laparoscopic or vaginal hysterectomy surgery.

Recovery After A Robotic Hysterectomy

A hospital stay of 2 to 3 days is generally necessary after a robotic hysterectomy. Additional 3 to 4 weeks of rest at home is also required to ensure the best treatment outcomes and minimal complications. If the robotic hysterectomy is performed abdominally, the recovery period may be extended. On the other hand, recovery after a vaginal robotic-assisted uterus removal surgery tends to have a shorter duration. Patients can gradually resume their regular activities after this period.

Recovery After An Open Hysterectomy 

The total recovery time associated with open hysterectomy is generally higher compared to other methods. This is because open surgery for uterus removal is more invasive in nature. In most cases, a hospital stay of 5 days or more is necessary. Complete recovery after an open procedure for uterus removal can take approximately 6 to 8 weeks.

Risk & Complications Associated with Hysterectomy

Patients undergoing a hysterectomy should also be informed about the potential risks and complications associated with the procedure. Uterus removal side effects and complications are more likely to occur in the case of abdominal hysterectomy, as it involves a large incision. Vaginal hysterectomy procedures tend to accompany a lower risk of complications. Similarly, complications are highly unlikely in the case of less-invasive hysterectomies. Educating oneself about the potential risks is a good way to be prepared for any uterus removal side effects that may arise. In addition, it also helps patients make an informed decision about undergoing the procedure. Even though the risk of complications is low as the surgery is generally performed with the utmost precision, they may still occur.

Listed below are some complications that may occur after a uterus removal surgery:

• Infection: Like any surgical procedure, there is a risk of developing an infection at the incision site or within the pelvic region. This risk can be minimized through proper preoperative preparation and postoperative care.
• Heavy Bleeding: During or after the uterus removal surgery, there is a possibility of heavy bleeding. However, the surgical techniques used, such as the use of cauterization or sutures, aim to control bleeding and minimize this risk.
• Injury to Other Organs: While rare, there is a slight possibility of unintentional damage to nearby organs, such as the bladder, ureters, or intestines, during the surgery. Surgeons take precautions to minimize this risk, but it is important to be aware of the potential for injury.
• Blood Clots: Hysterectomy surgery can also increase the risk of developing blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism). To manage these effects, preventive measures, such as early mobilization and the use of compression stockings or blood-thinning medications, may be suggested.
• Anesthesia Complications: Anesthesia carries its own risks, which can include adverse reactions, breathing difficulties, or heart complications. However, the possibility of these infections is quite low, and they can be easily managed.
• Bowel Blockage: In some cases, bowel movements may be affected following a hysterectomy surgery, leading to constipation or bowel blockage. This can usually be managed with dietary adjustments and medication if necessary.
• Difficulty Urinating: Temporary difficulty or discomfort with urination is not uncommon after a hysterectomy, particularly if the bladder or urethra has been affected during the procedure. However, this is usually temporary and resolves with time.
• Rare Complications: While extremely rare, there is a risk of serious, life-threatening complications such as severe infection, excessive bleeding, or an adverse reaction to anesthesia. These instances are highly uncommon but may happen.

Hysterectomy surgery procedures are generally quite safe, and most patients have a seamless treatment journey and experience. In case of uterus removal side effects, the patients must immediately reach out to their healthcare provider.

Does Insurance Cover Hysterectomy Cost in India?

Yes. Most insurance companies in India offer coverage for hysterectomy surgery, irrespective of the type of hysterectomy the patient is scheduled for. A hysterectomy or uterus removal surgery is only recommended in medically necessary scenarios, i.e., when the uterine issues can not be resolved through conservative methods and there’s a risk to the patient’s well-being. Therefore, patients can claim insurance for their uterus removal surgery. 

The insurance coverage provided by different insurance companies for hysterectomy surgery varies. The amount one can claim may also differ based on the terms and conditions of the policy. So, it is important that the patient get a proper understanding of the coverage they’ll receive for their treatment from the insurance provider in advance. 

At Pristyn Care, we provide complete assistance to patients in the insurance claim process so that they can claim the maximum amount for their hysterectomy surgery. To get your uterus removal surgery done at Pristyn Care, contact our team and schedule your appointment with our expert gynecologists. Call us today.

Know more: Is Uterus Removal Surgery (Hysterectomy) covered under Insurance?