When would I need a hysterectomy?

A hysterectomy is a surgical procedure to remove your uterus. For most gynecological conditions, Dr. Okour begins your treatment with the most appropriate nonsurgical option. He recommends a hysterectomy only when your symptoms don’t improve with conservative treatments.

However, there are exceptions. For example, you need an immediate hysterectomy to treat cervical, uterine, or ovarian cancer.

The gynecological conditions that most likely lead to a hysterectomy include:

• Endometriosis
• Uterine fibroids
• Endometrial polyps
• Heavy menstrual bleeding
• Pelvic organ prolapse

These conditions cause symptoms such as heavy bleeding, pelvic pain or pressure, and pain before or during your menstrual periods.

What type of hysterectomy will I need?

Dr. Okour recommends one of the following types based on your diagnosis and overall health:

Supracervical hysterectomy

During a supracervical hysterectomy, also called a partial hysterectomy, Dr. Okour removes the uterus while leaving the cervix intact.

Total hysterectomy

Dr. Okour removes the cervix as well as the uterus.

Radical hysterectomy

Primarily used to treat cancer, a radical hysterectomy means removing the uterus, cervix, upper part of the vagina, and some lymph nodes.

Can I get elective or prophylactic procedures during a hysterectomy?

Many women who need a hysterectomy ask if they can have a salpingectomy (surgery to remove the fallopian tubes) or oophorectomy (surgery to remove the ovaries) at the same time.

Prophylactic bilateral salpingectomy

Dr. Okour may remove both fallopian tubes during your hysterectomy. Most high-grade ovarian cancers originate in the fallopian tubes. Removing both tubes can lower your risk for this type of cancer by 50%.

Elective oophorectomy

For years, women who needed a hysterectomy also had their ovaries removed, believing it lowered their risk for ovarian cancer. However, studies show you have a higher risk of developing heart disease and dying if you remove the ovaries.

You may benefit from elective oophorectomy if you have a high risk for ovarian cancer. Dr. Okour can help evaluate your risks and give you the information you need to make an informed decision.

Will I have a minimally invasive hysterectomy?

Though traditional open surgery is sometimes necessary, Dr. Okour performs nearly all hysterectomies using minimally invasive techniques. 

He may remove your uterus through an incision in your vagina or perform laparoscopic or robotic surgery through small incisions in your abdomen. Most hysterectomies are outpatient procedures, and you can go home in 4 to 23 hours, depending on the type of hysterectomy.

If you have questions about a hysterectomy or would like to schedule a consultation, call Southern California Center for Advanced Gynecology, or book online today.