Total Abdominal Hysterectomy And Vaginal Hysterectomy

The cost for a total abdominal or vaginal hysterectomy in Pakistan ranges between 50,000-150,000 PKR. The cost for the procedures varies depending on the undergoing surgery (Vaginal hysterectomy is lower in cost) and the surgeon you consult. 

Hysterectomy, either abdominal or vaginal, is recommended for the treatment of the following conditions;

• Abnormal uterine bleeding

• Heavy menstrual periods

• Fibroids

• Pelvic organ prolapse

• Endometrial hyperplasia

• Uterine cancer

What is the procedure for total abdominal hysterectomy and vaginal hysterectomy?

The procedure for hysterectomy includes the following steps;

• All the essential diagnostic tests are performed to rule out any risks or underlying medical conditions.

• General anesthesia is given to make the patient numb during the procedure.

• A catheter is passed through the urethra to empty the bladder.

• An incision is made, either vertically or horizontally, depending on your hysterectomy (Total abdominal or vaginal hysterectomy).

• The uterus is removed from the incision. The cervix, ovaries, and fallopian tubes are also removed during the surgery if required.

• The incision is stitched again using sutures dissolved in the skin later.

What are the risks & complications associated with total abdominal and vaginal hysterectomy?

Total abdominal or vaginal hysterectomy is a complicated surgery associated with many risks. Some of these include;

• Hemorrhage

• Damage to bladder

• Venous thrombosis

• Severe infection

The surgery can also rarely result in death during or after a few days.

What to expect after a total abdominal hysterectomy and vaginal hysterectomy?

After removing the uterus, the patient is hospitalized for at least 2-3 days. Severe vaginal bleeding occurs that can last for 2-3 days. This is usually managed by using sanitary pads. Painkillers are prescribed to manage intense painful sensations. The postoperative pain after the total abdominal hysterectomy lasts longer than the vaginal hysterectomy. The patient is also prescribed to limit weight uplift and sexual activities for at least 6 weeks following the procedure.