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A radical hysterectomy is a type of uterus removal procedure suggested for complex uterine conditions, including cervical and ovarian cancer. The procedure is more complex than the other type of hysterectomies, but an effective solution for certain serious uterine conditions. At Pristyn Care, we house some of the best gynecologists in India with impressive experience in diagnosing uterine conditions and performing advanced laparoscopic and robotic radical hysterectomy procedures. To book your consultation with our expert gynecologists, reach out to our team today.
A radical hysterectomy is a type of uterus removal procedure suggested for complex ... Read More
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A radical hysterectomy is a type of hysterectomy (uterus removal surgery) in which the uterus, cervix, and other surrounding tissues are removed. The purpose of a radical hysterectomy is the treatment of certain complex conditions, including cancer or severe endometriosis.
Following a radical hysterectomy surgery, a woman is no longer able to bear children because the uterus and its surrounding structures necessary for conception are removed. This surgery can be performed through the abdomen or the vagina and using different surgical techniques, including open surgery and laparoscopic or robotic surgeries. The organs to be removed, along with the uterus, are determined by the doctors after a careful assessment of the patient’s health. Typically, the cervix, fallopian tubes, ovaries, and surrounding tissues are removed in this procedure.
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The doctors suggest a series of diagnostic tests to assess the patient’s overall health, symptoms, and underlying cause of the condition before a radical hysterectomy. The tests are vital for gathering the necessary information regarding the patient’s health and determining if the patient is suitable for the surgery. The diagnostic process before a radical hysterectomy is as follows:
Medical history examination: In the initial consultation, the doctor carries out a thorough assessment of the patient’s health. This involves understanding their symptoms, asking questions about their medical history, the history of diseases in the family, and so on. Following this, the doctor moves on to the physical evaluation.
Physical evaluation: In a physical evaluation, the doctor thoroughly examines the patient’s reproductive organs to rule out structural abnormalities. A physical examination is also typically performed during the initial consultation.
Imaging tests: After the physical assessment, the doctor may recommend additional imaging tests such as ultrasound, MRI, or CT scans. These tests produce detailed images of the uterus, ovaries, and surrounding structures, helping to detect tumors, fibroids, or other abnormalities.
Laboratory tests: Blood tests and urine tests are performed to assess hormone levels, identify infections, and evaluate the patient’s overall health.
Biopsy: Sometimes, a biopsy is suggested to rule out the presence of cancer, precancerous conditions, or other abnormalities. In this procedure, the doctor collects a tissue sample from the uterus or cervix for examination under a microscope in a laboratory.
Diagnostic procedures: Depending on the specific circumstances, the doctor may recommend diagnostic procedures like hysteroscopy or laparoscopy. These procedures allow for a closer examination of the reproductive organs to diagnose conditions such as endometriosis, fibroids, polyps, and accurately determine the underlying cause.
Explained above was the standard diagnostic process followed before a radical hysterectomy. The doctor may suggest additional tests based on the requirement of the case to assess the patient’s health before they undergo the surgery.
A crucial aspect of ensuring the best outcomes of a radical hysterectomy is being prepared for the procedure. Preparation is critical to ensuring minimal complications in the process and successful treatment outcomes. The doctors typically provide the necessary preparation guidelines to patients before the surgery. Here are some preparation tips to follow before a radical hysterectomy:
Get the diagnostic tests done: The doctor will most likely suggest some diagnostic tests before the surgery. The patients must get all the diagnostic tests done before the surgery and have all the test reports handy on the day of the surgery.
Discuss complete medical history with the doctor: It is important for patients to have a thorough discussion with their surgeon about their complete medical history. The patient must inform the doctor about previous surgeries (if any), pre-existing health conditions, allergies, etc. In addition, the patients must also discuss their apprehensions about the procedure beforehand.
Avoid smoking and alcohol consumption: If the patient has a habit of smoking or consuming alcohol, the doctor will ask them to avoid these habits starting at least 6 weeks before the surgery. Both smoking and unmonitored alcohol consumption are linked with an increased risk of complications during surgery. They can also affect the overall outcomes of the procedure.
Fasting before the procedure: The patients are typically instructed not to eat or drink anything for a certain period, usually 12 hours before the surgery. This is to ensure that their stomach is empty during the procedure, which is essential to prevent anesthesia-related side effects.
Bowel preparation: The doctor may prescribe an enema or a laxative to help empty the bowel thoroughly before the surgery. The purpose is to minimize the risk of bowel complications during the procedure and provide a clear surgical field for the surgeon.
Medications to reduce bleeding risk: Prior to the surgery, the doctor may prescribe certain medications to help reduce the risk of heavy bleeding during the procedure. These medications may include hormonal drugs or other medications that help control bleeding.
Compared to other types of hysterectomies, a radical hysterectomy procedure is generally quite complex. It involves the removal of the uterus, as well as some of its surrounding structures, including the cervix and some tissues. The procedure involves several steps that typically differ based on the technique used for performing the surgery- open, laparoscopic, or robotic. Here’s a step-by-step guide to the standard radical hysterectomy procedure:
Step 1: Before the radical hysterectomy procedure, irrespective of the type of approach, the surgeon administers general anesthesia to the patient to put them under sedation.
Step 2: Once the patient is sedated, the surgeon makes an incision in the lower abdomen, or typically a horizontal or vertical incision to access the pelvic area. If the surgeon is using a laparoscopic or robotic approach to perform the surgery, they may make multiple small incisions to pass the surgical instruments.
Step 3: Next, the tissues surrounding the uterus are carefully separated to get a clear view of the uterus, cervix, fallopian tubes, ovaries, and other surrounding structures to be removed. In this step, the doctor creates a clear surgical field by separating the uterus and cervix from the uterus.
Step 4: The ligaments supporting the uterus are then identified and separated to free the uterus from the structures surrounding it.
Step 5: The surgeon then removes the uterus, cervix, and the upper part of the vagina. This may involve cutting and sealing blood vessels to ensure minimal bleeding. If the doctor suspects some abnormality, such as cancer, the removed tissues are sent for pathological examination to determine the presence of cancerous cells.
Step 6: When all the necessary organs and tissues are successfully removed, the surgeon carefully sutures the incisions and dresses the operated area with bandages.
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After a radical hysterectomy, the patient is moved to the recovery room, where their vitals, such as pulse rate, blood pressure, etc. are carefully monitored. Typically, the patients are required to spend 1 to 2 days in the hospital following a radical hysterectomy procedure. However, the duration of hospital stay can differ based on the type of surgery performed and the patient’s overall health. In general, laparoscopic and robotic radical hysterectomy procedures accompany a shorter recovery period compared to open radical hysterectomy. The discharge is given after the doctor ensures the patient is fit to be sent back home.
Complete recovery after a radical hysterectomy can take up to a few weeks. The total recovery time differs for every patient, depending on their individual circumstances and how well they care for themselves following the surgery. Any instructions given by the doctor regarding wound care and lifestyle changes must be followed diligently by the patients during this period to ensure a seamless recovery. The doctor may schedule some follow-up sessions to monitor the patient’s health, which the patients are required to attend without fail.
Women can expect menopause following their surgery, as this procedure typically involves the removal of ovaries as well. It can be accompanied by night sweats, hot flashes, and mood swings, which occur as a result of the cessation of hormone production. In addition, the women must know that they won’t be able to get pregnant after this procedure due to the removal of the womb (uterus) and its surrounding structures. It is also normal for some women to experience a difference in the way they experience sex. For some, the resolution of symptoms associated with uterine problems can lead to an enhancement in sexual pleasure. However, in other cases, this surgery can lead to decreased sexual desire and vaginal dryness. We will further discuss how patients can ease their recovery after a radical hysterectomy.
For anyone who wants to recover quickly after a radical hysterectomy, it is important to follow some standard guidelines. By taking the necessary precautions during recovery, the patients can ensure there are no post-surgical complications and their recovery is quick and seamless. Here are some recovery tips that can help boost recovery after a radical hysterectomy:
Rest as much as possible: Since radical hysterectomy is a complex procedure, it’s important for patients who’ve undergone it to get proper rest before they fully recover. The patients must avoid rushing into their daily tasks and gradually resume their daily activities.
Take care of incisions and wounds: Radical hysterectomy procedures involve single or multiple incisions. The patients will receive instructions regarding incision and wound care after their surgery, which they must follow diligently. Keeping the incisions clean and dry and getting the dressing timely changed is important to minimize the risk of infections.
Take the prescribed medicines as advised: It is normal for patients to experience some pain and discomfort after radical hysterectomy surgery. The doctor may suggest certain medications to ease the pain. The patients must take the prescribed medicines on time and avoid starting any other medication without the doctor’s consent. If the pain or discomfort persists or worsens, it is advisable to seek a doctor’s intervention.
Gradually increase activity levels: Women who’ve undergone radical hysterectomy surgery should refrain from indulging in strenuous activities and should gradually increase their activity levels. They can start by taking short walks to improve blood circulation and prevent the formation of blood clots. It is best to follow the doctor’s instructions in this regard.
Maintain healthy bowel movements: After surgery, patients typically experience changes in their bowel movements. Some effective ways of maintaining a healthy bowel movement include using stool softeners, eating more fiber, and drinking ample fluids.
Seek medical intervention if necessary: Sometimes, complications can occur after a radical hysterectomy procedure. If the patients experience any abnormal symptoms, they must immediately reach out to their healthcare provider for timely management.
It is important for patients to follow all the specific instructions provided by their healthcare provider for a seamless recovery after a radical hysterectomy procedure. This will help them recover without hassles and quickly get back to their normal lives.
Read more: Recovery After Hysterectomy Surgery
A radical hysterectomy is suggested after thoroughly assessing the patient’s uterus and overall health. This procedure is suggested in several instances, especially in cases that can not be corrected with conservative treatment or alternative methods. Listed below are some conditions that necessitate a radical hysterectomy:
Cancerous tumor within the uterus: If the diagnostic tests have confirmed the presence of a tumor within the uterus, the doctor may suggest a radical hysterectomy for the removal of the uterus and its surrounding structures. The purpose is to remove the uterus and prevent cancer from spreading to other parts of the body.
Large fibroid: Large fibroids can cause discomforting symptoms and require removal. The doctor may suggest a radical hysterectomy if the fibroid is large in size and is causing severe symptoms such as abnormal bleeding and severe pain.
Abnormal and profuse bleeding: If a woman is experiencing chronic and excessive bleeding that can not be managed through other methods, the doctor may suggest a radical hysterectomy. The procedure can help treat its underlying cause and improve the woman’s quality of life.
Endometriosis: Endometriosis is a condition where the tissue lining the uterus grows outside of it, leading to pain and fertility issues. If conservative treatments fail to provide relief, a hysterectomy may be considered as a last resort to remove the uterus affected by endometriosis.
Uterine prolapse: Some women experience uterine prolapse, a condition in which the uterus protrudes from the vagina. A radical hysterectomy procedure is considered effective in reversing this condition and improving its symptoms.
Adenomyosis (thickening of the uterus): Adenomyosis is a condition that involves the abnormal growth of endometrial tissue into the muscular wall of the uterus. Sometimes, this condition can lead to severe pain, abnormal bleeding, and other complications. If the symptoms are severe, the doctors may go for a radical hysterectomy to alleviate symptoms.
Excess pain associated with menopause: During menopause, several women experience excruciating pain, along with other discomforting symptoms. If the pain is debilitating and has not subsided with alternative treatment, a hysterectomy may be considered to alleviate the pain and improve the patient’s quality of life
While radical hysterectomy is a safe procedure and accompanies a very little risk of complications, the patients must educate themselves on the risks of this procedure prior to undergoing this surgery. Here are some potential complications of a radical hysterectomy that the patients must be aware of:
In India, the average cost of a radical hysterectomy procedure is between Rs.80,000 to Rs.1,20,000 But, this is the estimated expense of this procedure. The total expense a patient has to bear for this treatment differs based on the patient’s location. Patients residing or seeking treatment in metropolitan cities typically have to bear higher treatment charges. In addition, factors like the patient’s choice of treatment hospital (government or private), doctor’s fees, cost of medication required during or after the surgery, cost of diagnostic tests, anesthesia charges, insurance coverage, etc. also impact the total cost of the surgery.
It’s important for the patients to get the estimated treatment cost from the healthcare facility they’re receiving the treatment at to ensure financial preparedness before the procedure. The patients must also ask the respective healthcare facility about the payment options, whether or not they accept insurance, and other important cost-related questions to ensure there’s no confusion later on.
Know more about Procedure Cost: Cost estimate of Hysterectomy
In India, most insurance companies in India cover a radical hysterectomy under their health insurance and mediclaim policies. A radical hysterectomy is recommended only when medically necessary, meaning other treatment options have proved ineffective, and there is a risk to the patient’s health. Therefore, patients can usually make an insurance claim for radical hysterectomy surgery. The amount that can be claimed may also differ depending on the policy’s terms and conditions. It is important for patients to understand the coverage they will receive for their treatment in advance by contacting the insurance provider.
At Pristyn Care, we offer comprehensive assistance to patients in the insurance claim process, ensuring they can claim the maximum amount for their radical hysterectomy surgery. If you wish to have your uterus removal surgery at Pristyn Care, please contact our team and schedule an appointment with our expert gynecologists. Call us today.
A radical hysterectomy becomes necessary when other treatments fail to offer effective outcomes. A radical hysterectomy may be required if the doctor suspects cancerous growths in the uterus and large fibroids, or the patient has abnormal bleeding, severe pain, or other abnormal uterine conditions.
The hospital stay after a radical hysterectomy depends on several factors. A leading factor affecting the duration of hospital stay is the technique used to perform the surgery. Typically, a hospital stay of 1 to 2 days is necessary. But, it can also be longer than that. The doctors carefully assess the patient’s overall health before deciding the hospital stay.
It depends on individual circumstances. While most patients are only advised to take proper rest following the surgery, in some cases, the doctor may suggest complete bed rest. Instructions regarding this are typically given by the doctor after the procedure, after a thorough assessment of the patient’s condition.
Yes. Radical hysterectomy is a safe procedure with successful outcomes. Like any other surgical procedure, this procedure also carries a risk of complications, but they’re rare. Most patients do not experience serious side effects or major discomfort during or after the surgery.
A radical hysterectomy is performed to treat certain uterine conditions that can not be corrected through other methods. While there are certain alternatives to this treatment, it becomes necessary when other treatments fail to offer effective outcomes.
A radical hysterectomy is performed under general anesthesia, and hence, the patients do not experience any pain or discomfort during the procedure. Any pain or discomfort after the procedure is typically treated with the help of pain-relieving medication.
No. Since radical hysterectomy involves the removal of the uterus (womb) and it’s surrounding structures that are necessary for carrying a pregnancy, a woman who has undergone this procedure can not get pregnant.
The doctors suggest waiting for 4 to 6 weeks before resuming sex after a radical hysterectomy. It is essential to wait for this long before resuming sex in order to allow the body to heal completely. It is always advisable to follow the doctor’s instructions regarding this before deciding to indulge in it.
Damyanti
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Very good, fast and hassle free process. People find difficulties to choose doctor and hospital but Pristyn Care do it on patients behalf and give best options, all in all patients gets good service and supportive assistance from Pristyn care. This was my second experience with Pristyn Care and I am happy to choose them again. Thanks Pristyn Care. 🙏
Damyanti
Recommends
Very good, fast and hassle free process. People find difficulties to choose doctor and hospital but Pristyn Care do it on patients behalf and give best options, all in all patients gets good service and supportive assistance from Pristyn care. This was my second experience with Pristyn Care and I am happy to choose them again. Thanks Pristyn Care. 🙏
Dolly Nagar
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I had my hysterectomy surgery at Pristyn Care while going through menopause. They were very empathetic and took good care of me from the beginning to the end. I appreciate their help and efforts.
Arushi Deshpande
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I underwent a hysterectomy at Pristyn Care, and the experience was beyond my expectations. The entire team was professional and caring, ensuring I was comfortable throughout the process. The surgery went smoothly, and the post-operative care was excellent. Thanks to Pristyn Care, I can now lead a life free from the pain and discomfort I experienced before.
Deepshikha Runthla
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My hysterectomy experience with Pristyn Care was outstanding. The doctors were skilled and compassionate, explaining the procedure and answering all my questions. Pristyn Care's team ensured I felt comfortable throughout the process, providing excellent care during my surgery and recovery. Thanks to Pristyn Care, I had a smooth and successful hysterectomy, and I'm grateful for the personalized attention and support they provided.
Nitya Runthla
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I recently had a hysterectomy at Pristyn Care, and I am extremely satisfied with my experience. The medical team was highly professional and ensured that I fully understood the procedure and what to expect. The surgery itself was successful, and the recovery process was managed efficiently. The nursing staff provided excellent care and support, which made my stay comfortable. I would confidently recommend Pristyn Care to anyone in need of a hysterectomy.
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