HealthMedicine

Vaginal hysterectomy - indications for conduction and its consequences

Vaginal hysterectomy is a surgical procedure that removes the uterus and sometimes ovaries and tubes. Recently, this operation has been resorted to very often, but until now some doctors are against it. Their opinion is based on the fact that if a woman's life does not threaten anything, then hysterectomy is superfluous. Another group of doctors assure that, after reaching a certain age, the uterus ceases to be a useful and necessary organ, but only becomes a source for the spread of infections.

Vaginal hysterectomy of the uterus is the so-called golden mean among all other types of this surgical intervention. During the operation, an incision is made in the upper part of the vagina, through which the uterus is removed. As a rule, it is performed only in women giving birth. Basically, because the vagina is already widened and the excretion of the uterus will be facilitated.

Vaginal hysterectomy. Indications for conduction

  • In the period of menopause , the uterine myoma appeared.
  • Internal endometriosis.
  • Sex change.
  • Severe omission or prolapse of the uterus.
  • A large number of benign tumors of the ovaries and uterus.
  • Bleeding due to endometrial diseases.

pros

  • After this operation, the patient does not have any scars.
  • Loss of blood is minimal.
  • There is a rapid recovery of physical condition.
  • A small number of complications and a minimum number of deaths.

Contraindications

  • Inflammatory diseases of any organ in the whole body system.
  • Larger sizes of the uterus.
  • Presence in the anamnesis of caesarean section and the adhesions formed after it.
  • A disease that requires examination of the organs of the entire abdominal cavity.

But, despite the fact that vaginal hysterectomy has so many positive moments compared with other types of uterine removal, this method is performed only a third of the operations.

Vaginal hysterectomy is performed only if there are all the conditions necessary for this, namely: the absence of cancer, the small uterus , the walls of the vagina are flexible.

Vaginal hysterectomy. Effects

  • Postoperative fever.
  • Bleeding.
  • Peritonitis.
  • Development of purulent processes in hematomas.
  • Falling out of the vagina.
  • Formation of adhesions.
  • Backache.
  • Urinary incontinence.
  • There may be signs of menopause.
  • Infection on the wound surface.
  • Thromboembolism.
  • Intestinal prolapse through the vagina.
  • Nausea.
  • Development of osteoporosis.
  • Violation of libido.
  • Pain in the joints.
  • The extinction of ovarian function.

After the operation for several weeks, a woman needs to visit a doctor for an examination. As a rule, the recovery of the body occurs after 1.5-2 months.

Most doctors recommend performing an operation to remove the uterus only after the onset of menopause, as when performed at an earlier time, severe complications may occur. In addition to mental disorders that occur in women before menopause, they have a loss of attraction to sex. Many people have a fear that vaginal hysterectomy will make them sexually unattractive.

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