Like any surgery, a hysterectomy (the removal of the uterus and sometimes additional genital organs) comes with risks. There are a variety of reasons to undergo a hysterectomy, and there are different versions of the procedure as well. Each reason and type changes the risks. The more extensive the surgery, the greater they will be.
While some hysterectomies requires abdominal surgery, others may be done through a minimally invasive procedure (MIP). This means the uterus can be removed through a small incision in a the vagina, or using a laparoscope, a small tube with a light and camera attached to it which is inserted through a much smaller incision in the abdomen than abdominal surgery requires. The doctor is then able to see what’s going on internally while using small tools, a vaginal removal, or robotic assistance.
Infection
The risks associated with MIPs are much less than open surgery. There is considerably less scarring, which is, of course, an additional bonus, but there’s also less chance for infection to set in, since the wound is smaller and heals faster. Additionally, less of the body is open to airborne infection with an MIP. Your doctor should prescribe antibiotics to help keep this problem at bay.
Pain and Swelling
As with any surgery, there is bound to be pain, so it should be expected. Painkillers prescribed by your doctor are intended to help with this, as will taking it easy and not pushing your body physically. Working slowly back up to your normal activity level over the course of several months is the best option. The pain and swelling, however, should not be overwhelming. If they become excessive, seek a doctor.
Psychological Issues
A hysterectomy means you won’t be having a period anymore and you cannot get pregnant. If you have already gone through menopause, you may have already dealt with this. If you haven’t, it can be difficult to face. Some find that it makes them feel like they aren’t a woman anymore. It can lead to depressive feelings, especially combined with hormonal changes that may occur because of the surgery. This is, of course, not true, but you should not feel embarrassed to seek counseling if this is troubling you. The hormonal changes (if you haven’t already gone through menopause) will be much like those of menopause: mood swings, hot flashes, irritability, and sleep disturbance.
