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Total vs. Partial Hysterectomy

From the Surgery Options and Choices Articles List

SHARING IS CARING


Woman weighing her options between a total and partial HysterectomyThe more I read and soul search, and the more I talk things over with my husband, I am thinking I don’t want to lose my cervix. I am leaning towards asking my doctor about taking my tubes and uterus, and leaving my ovaries and cervix. But I want minimally invasive surgery, and I’m pretty sure my doctor is going to push for a total hysterectomy. How do I decide between a partial and total hysterectomy?

First, the cervix is not a separate organ. It is the neck of the uterus. So depending on your diagnosis, it may not be possible to keep the cervix. For instance, if your uterus is prolapsing, the cervix is what is making its exit from the body! If you have adenomyosis, endometriosis, cancer concerns, or fibroids, the cervix could be affected pre- and post-hysterectomy.

If you choose da Vinci or other minimally invasive surgery, you would need to check with your doctor about the possibility of keeping your cervix. If he or she delivers the uterus vaginally, keeping the cervix won't be an option. Find out the specific technique your doctor uses and also get a second opinion.

If you do opt to keep your cervix, it can be removed later if it is an issue. That procedure is called a trachelectomy. If your doctor indicates that he or she believes the cervix will have to go, though, it’s better to just get it done all at once and have one recovery.

Keeping or removing the cervix can be a very personal decision. There are doctors and patients who are adamant about each choice, each with information to back up their opinion. Be sure to get a second, and maybe even a third opinion, before you decide. A hysterectomy is a major surgery and a life-changing procedure. You will definitely want to be comfortable that you have made the right choice for you—one that best serves your particular medical needs.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

09-29-2011 - 02:00 PM


SHARING IS CARING


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Diagnosis
Options to Hysterectomy
Treatment Alternatives
Pre-Op Hysterectomy
Post-Op Hysterectomy
Separate Surgeries
Hormone and Menopause
Intimacy after Hysterectomy
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Fitness after Hysterectomy
GYN Cancer
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Grief and Loss
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Find a Surgeon

HysterSisters Doctor Directory
Lauren Streicher, M.D.
Gynecologic Specialists of Northwestern, S.C
680 N. Lake Shore Dr., Suite 117
Chicago IL 60611
(312)654-1166
Kimberly Newman, M.D.
10030 Edison Square Drive
Suite 100A
Concord NC 28027
704-403-7670
Caren C Reaves, M.D.
Caring for Women
2805 S. Mayhill Rd
Denton TX 76208
940-591-6700
Susan Carter, M.D.
North Colorado Medical Center/ MCR
1800 15th Street, Suite 220
Greeley CO 80631
970 353 1335
Jane Starr, M.D.
16651 SW FWY #200
Sugar Land TX 77479
713-774-5131
Megan Daw, M.D.
Western Carolina Women's Specialty Center
2100 Ridgefield Blvd
Asheville NC 28806
828-670-5665
Jocelyn Carlo, M.D.
1924 Highway 35
WALL NJ 07719
732-924-8404
Larry R. Glazerman, M.D.
1098 W Baltimore Ave
Riddle HLTH Ctr 3 #3404
Media PA 19063
610-627-4170
Peter Vienne & Tom Kazmierczak, M.D.
936 W. Rt 6
Morris IL 60450
815-791-9518

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