Partial Hysterectomy Vs. a Complete Hysterectomy

A hysterectomy is a surgical procedure, which removes a woman's uterus. A total hysterectomy removes the entire uterus as well as the cervix; a partial hysterectomy removes only the upper part of the uterus.

Hysterectomy procedures

• A partial or total hysterectomy can be performed through a 5 to 7 inch incision in the lower part of the abdomen, an incision made in the vagina, laparoscopically through 3 to 4 tiny incisions in the abdomen, laparoscopically through the vagina, or using a robotic surgical devise through the abdomen.

Reasons for hysterectomy

• Fibroids, benign uterine tumors, are the most common reason for total and partial hysterectomies. Other causes include cancer of the uterus or ovaries, endometriosis, excessive vaginal bleeding, prolapse of the uterus and complications from childbirth.

Possible complications

• Risks associated with a hysterectomy, whether partial or total, include: blood clots, infection, excessive bleeding, anesthesia reactions, urinary tract, bladder or rectum damage, early menopause and occasionally death.

Hospital expectations

• Movement after a hysterectomy, whether partial or total, is extremely important to prevent blood clots. Hospital stays average 2 to 3 days, pain medication is given intravenously or by pill, a catheter may be used to facilitate the passage of urine and a normal diet resumes once the bowels are functioning properly.

Recovery

• Recovery time for both partial and total hysterectomies is 6 to 8 weeks. During this time, it is important to get plenty of rest and avoid lifting things. A partial hysterectomy leaves the cervix in tact requiring regular Pap smears. Removal of the ovaries in a total hysterectomy and reduced blood flow to the ovaries caused by a partial hysterectomy can initiate menopause. Consult your doctor regarding symptom management.