Vaginal hysterectomy means entering through the vagina and removing the uterus. While receiving the uterus, we can also remove the ovaries and tubes at the same time.
Before the surgery, the patient and the physician should decide together whether or not the ovaries will be removed. The necessity of post-operative hormone therapy should also be discussed.
Uterine removal surgery does not mean that the ovaries will be removed. In women who have not yet reached menopause, it is generally not preferred to remove the ovaries. Because hormone production still continues from those ovaries and hormones are very important for women's health. Hormone production is especially important in terms of sexual interest, heart, osteoporosis and hot flashes. But on the other hand; There are some women (such as premenstrual tension syndrome, menstrual-related migraine patients) who are relieved when their ovaries are removed and their hormone levels decrease. For these reasons, an individual decision should be made according to the patient whether or not the ovaries will be removed. However, sometimes the ovaries may not be removed due to adhesions and scar tissue even if it is desired to be removed.
It is almost always possible to take the tubes at the time of removal of the uterus. Removing the tubes slightly reduces the risk of ovarian cancer. Similarly, sometimes the tubes cannot be removed due to adhesions and scar tissue.
Estrogen therapy may be recommended in patients whose ovaries have been removed and who are not in menopause. Hormone therapy can be planned to prevent hot flashes, night sweats and bone loss in patients whose ovaries are removed by surgery. The patient and his doctor should discuss the risks and benefits of hormone replacement. Patients who are already in menopause usually do not need hormone therapy when their ovaries are removed.
A detailed physical examination, ECG, chest X-ray, blood tests and, if necessary, some further tests according to the age of the patient are performed preoperatively.
This operation should be performed under hospital conditions. It usually takes 1-2 hours depending on the patient.
However, it may take longer (approximately 2-3 hours) if an additional surgery such as sagging is performed (approximately 2-3 hours). During the surgery, the patient's heart rate, blood pressure, blood loss and respiration are closely monitored. After the surgery, patients are taken to the recovery room and followed closely until they wake up. Patients are usually discharged the next day.
From time to time; when performing the surgery vaginally; The patient presents with advanced adhesions. This condition may not be detected before surgery. For this reason, surgeons sometimes leave the vaginal tract in patients and remove the uterus from the abdomen by making an incision in the patient's abdomen.
Unfortunately, some undesirable complications may develop due to surgery. Most of these are easily manageable and do not cause problems in the long run.
Liquids and food are started to be consumed shortly after the operation. On the day of surgery, intravenous fluid therapy is given. Certain medications can be given on the day of surgery, especially for nausea and vomiting. If the patient has pain, painkillers are given as needed. Patients are motivated to return to their daily activities as soon as possible. Being active is very important. Most patients can be sent home the next day.
Scientific studies; shows that women are very satisfied after vaginal removal of the uterus. Sex life has improved in most women.
(Consult the doctor following you (heart doctor, neurologist etc.)
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