Hysterectomy and the Conditions That Require It

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Hysterectomy and the Conditions That Require It
Hysterectomy and the Conditions That Require It
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Hysterectomy is a surgical procedure to remove the uterus. This operation is usually performed to treat problems in the female reproductive system that do not improve with other treatment methods

Hysterectomy or surgical removal of the uterus is generally recommended for patients who suffer from certain diseases of the reproductive system and have undergone various medical treatments, but their condition does not improve.

Hysterectomy and Conditions That Require It - Alodokter

However, hysterectomy is often a separate consideration for women, because this operation prevents women from getting pregnant and does not experience menstruation again even though they are not menopausal.

Hysterectomy is a major operation, so it requires a relatively long recovery time. However, this depends on the patient's age and overall he alth condition.

Various Conditions Requiring Hysterectomy

Hysterectomy can be performed to treat the following conditions:

1. Menorrhagia

Menorrhagia is a condition when the amount of blood that comes out during menstruation is more than usual or the duration of menstruation is more than 7 days. Women with this disorder even need to change their sanitary napkins every 2 hours during menstruation.

If not treated immediately, menorrhagia can interfere with daily activities and risk causing other complications, such as anemia.

To treat menorrhagia, doctors can provide treatment or medical measures, such as scraping the lining of the uterus or endometrial ablation. However, if these measures don't work for menorrhagia, hysterectomy may be an option.

2. Endometriosis

Endometriosis is characterized by the growth of tissue that forms the lining of the uterine wall outside the uterus, such as the ovaries or fallopian tubes. If it still occurs in other parts of the uterus, such as the uterine muscles, this condition is called adenomyosis.

Symptoms of endometriosis can include pelvic pain and pain during intercourse, as well as impaired fertility. Endometriosis that is still mild or does not interfere with fertility generally does not need to be treated with a hysterectomy.

However, if this condition is severe or has spread to other parts or organs of the body and does not improve with other treatments, the doctor will recommend a hysterectomy.

3. uterine fibroids

Uterine fibroids are benign tumors found in the smooth muscle and connective tissue of the uterine wall. Some uterine fibroids cause no symptoms, but they can sometimes cause certain symptoms, such as pelvic pain, heavy menstrual bleeding, and fertility problems.

Hysterectomy is usually performed in cases of uterine fibroids that are severe and large or cause heavy bleeding in the uterus.

4. Chronic pelvic pain

Chronic pelvic pain can be caused by many things, such as uterine fibroids, endometriosis, cancer, or pelvic inflammatory disease. Some causes of chronic pelvic pain can be treated with medication.

However, if this symptom does not improve with medication, the doctor may consider performing certain medical procedures, including a hysterectomy, to treat the underlying cause of chronic pelvic pain.

5. Descendants

This condition occurs when the uterus descends from its normal position and presses against the vaginal wall, allowing the uterus to exit the cervix (cervix) and vagina. This disorder is more common in women who have given birth vaginally many times.

In addition, smoking habits, constipation, chronic cough, and obesity are also factors that can make women more at risk for this condition.

6. Cancer

Women who have cancer in their reproductive organs, such as uterine cancer or cervical cancer, usually need to undergo a hysterectomy, especially if the cancer is advanced or has reached stage 4.

Meanwhile in early stage cancer, doctors can still provide other treatments, such as chemotherapy, radiotherapy, or surgical removal of body tissue at the site of the growth of cancer cells.

In addition to treating the various conditions above, hysterectomy can also be performed to treat other cases, such as heavy bleeding after childbirth and severe uterine infection or endometritis.This operation is sometimes also performed for the purpose of sterilization or permanent family planning.

Various Hysterectomy Methods

Hysterectomy is divided into several methods. The doctor will determine the right method based on the patient's condition and treatment required. The following are the types:

  • Radical hysterectomy, which is the removal of the uterus, cervix, upper vaginal cavity, and surrounding supporting tissues
  • Total hysterectomy, which is the removal of the entire uterus and cervix
  • Subtotal hysterectomy, which is the removal of the upper part of the uterus without involving the cervix
  • Bilateral salpingo-oophorectomy hysterectomy, ie removal of the fallopian tubes, and ovaries or ovaries

In addition to the above methods, hysterectomy can also be performed with two techniques, namely:

Conventional operation

This hysterectomy technique is often called open surgery, which is a procedure performed by making an incision in the abdomen to remove the uterus and other surrounding tissue.

MIP procedure (minimally invasive procedure)

There are at least two ways to perform a hysterectomy with this method, namely vaginal hysterectomy and laparoscopic hysterectomy. Vaginal hysterectomy is the manual removal of the uterus and other parts through the vagina.

Meanwhile, a laparoscopic hysterectomy is performed with the help of a small tube or a laparoscope that is inserted through an incision in the abdominal wall.

Compared to conventional surgery, MIP has many advantages, such as a faster healing process, less risk of infection, and less pain.

However, MIP procedures, especially laparoscopically, are usually more expensive and have a higher risk of injury to other organs, such as injury to the urinary tract.

Things to Pay Attention to After Hysterectomy

Both conventional hysterectomy and MIP surgery carry the risk of complications, such as vaginal fistula formation and vaginal prolapse, difficulty holding urination, bleeding, and wound infection and injury to surrounding organs.

The hysterectomy surgery recovery process usually takes 6–8 weeks. However, the length of time depends on the type of hysterectomy procedure performed.

During the recovery period, you are advised not to lift heavy weights and get more rest so that the condition of the muscles and abdominal tissue quickly improves.

If you experience problems with the reproductive system, it is recommended to immediately undergo treatment, especially for cancer, so that it does not quickly spread to other organs, Having a hysterectomy is not an easy thing for every woman. Therefore, consult your doctor to determine whether you really need to undergo this procedure to treat your medical condition.

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