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A subtotal hysterectomy is an operation to remove part of your uterus (womb). Your ovaries may need to be removed at the same time (see figure 1).
Common reasons for having a subtotal hysterectomy include heavy or painful periods, and fibroids, where the muscle of your womb becomes overgrown.
Heavy periods can be treated using a variety of oral medications, an IUD (intra-uterine device), or by removing only the lining of your womb.
Depending on the size and position of fibroids, you can take medication to try to control the symptoms. Other treatments include surgery to remove the fibroids only or uterine artery embolisation.
The operation is usually performed under a general anaesthetic and usually takes about 90 minutes.
Your gynaecologist will make several small cuts on your abdomen. They will insert surgical instruments, along with a telescope, inside your abdomen and perform the operation.
Your gynaecologist will separate your womb and usually remove it through one of the small cuts on your abdomen.
You will usually be able to go home the same day or after one to two days.
Rest for two weeks and continue to do the exercises that you were shown in hospital. You should continue to improve.
You can usually return to work after four weeks, depending on your type of work.
You should be feeling more or less back to normal after two to three months.
Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.
A subtotal hysterectomy is a major operation usually recommended after simpler treatments have failed. Your symptoms should improve.
Author: Mr Jeremy Hawe MBChB MRCOG and Dr Clare Myers MBBS FRANZCOG
Illustrations: Medical Illustration Copyright © Nucleus Medical Art. All rights reserved. www.nucleusinc.com
This page is intended for information purposes only and should not replace advice that your relevant health professional would give you.
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