Hysterectomy

What is a hysterectomy?

A hysterectomy is a surgical procedure to remove the womb (uterus). It may be recommended to treat a range of gynaecological conditions, including fibroids, endometriosis, heavy or painful periods, chronic pelvic pain, uterine prolapse and certain gynaecological cancers. For many patients, a hysterectomy can offer long‑term relief when other treatments have not been effective.

Our world-leading gynaecology team has been recognised among the world’s best centres for gynaecology and obstetrics. Our consultants take time to understand your symptoms, medical history and personal priorities before recommending surgery.

We focus on fast, accurate diagnosis, tailored treatment planning and expert surgical care, with access to both routine and complex hysterectomy procedures. Where appropriate, we offer minimally invasive techniques, such as keyhole surgery, to support faster recovery and reduced hospital stay. If a hysterectomy is the right option for you, our specialists will guide you through every stage of treatment at St Thomas’ Hospital, from consultation to recovery.

What does a hysterectomy involve?

There are various types of hysterectomy. The type you have depends on why you need the operation and how much of your womb and surrounding reproductive system can safely be left in place.

The main types of hysterectomy are:

• total hysterectomy – the womb and cervix (neck of the womb) are removed; this is the most commonly performed operation
• subtotal hysterectomy – the main body of the womb is removed, leaving the cervix in place
• total hysterectomy with bilateral salpingo-oophorectomy – the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy) are removed
• radical hysterectomy – the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue

There are 3 ways to carry out a hysterectomy:

• laparoscopic hysterectomy (keyhole surgery) – where the womb is removed through several small cuts in the tummy
• vaginal hysterectomy – where the womb is removed through a cut in the top of the vagina
• abdominal hysterectomy – where the womb is removed through a cut in the lower tummy

Hysterectomy recovery

Depending on the type of hysterectomy you undergo will determine the length of the surgery, but on average this takes around one hour. You’ll be given painkillers to help reduce any pain and discomfort.

The length of time you are in hospital depends on your age and your general level of health. If you have had a vaginal or laparoscopic hysterectomy, you may be able to leave between 1 and 4 days later. If you have had an abdominal hysterectomy, it’ll usually be up to 5 days before you’re discharged.

It takes about 6 to 8 weeks to fully recover after having an abdominal hysterectomy. Recovery times are often shorter after a vaginal or laparoscopy hysterectomy. During this time, you should rest as much as possible and not lift anything heavy, such as bags of shopping.

If your job doesn’t involve manual labour, you may be able to return after 4 to 8 weeks, this is the same for driving.

If you’d like to learn more or discuss whether it could be right for you, our gynaecology specialists are here to help. Complete the form on this page to arrange an appointment and talk through your options in confidence.

Why would you be referred for a hysterectomy?

Many fertility investigations are performed via laparoscopy, as a minimally invasive surgery it allows your surgeon to view internal images and confirm a diagnosis, such as checking the fallopian tubes for any blockages etc.

The most common reasons for having a hysterectomy include:

• heavy periods – which can be caused by fibroids
• pelvic pain – which may be caused by endometriosis
• prolapse of the uterus
• cancer of the womb, ovaries or cervix

Risks of hysterectomy surgery

As with all types of surgery, a hysterectomy can sometimes lead to complications.

Some of the possible complications are:

• general anaesthetic complications
• bleeding
• ureter damage
• bladder or bowel damage
• infection
• blood clots
• vaginal problems
• ovary failure
• early menopause

If you’re thinking about a hysterectomy or have been advised it may be an option, our specialists can guide you through the decision. Fill in our online enquiry form to arrange a consultation and explore your treatment options together.