I had a TVH in November. All I can tell you is that if they feel your uterus will not fit through the vagina, they will do it abdominally. I dont think they really ever know how its going to go until you are on the table and they can see what is going on. I dont know if they use special scopes with having a vaginal hysty without laprascope assistance.
When it was time for the Dr to pull my uterus through, he found out that my vaginal canal was real narrow and it took quite a bit of work to get my uterus out. I never felt any ill effects due to that.
I was told when I had my first child that I had a narrow passage but I thought he meant my pelvic area as in my hips. He told me I would not be able to vaginally deliver a baby over 7 pounds.. I got an 8 pounder out just fine.... so when my hysty was done and he told me how narrow it was, it made sense to me about what the first doctor told me 23 years ago.
The good news is that this procedure is about as routine as root canals.. they are done every day... and for the most part, even if they find a complication along the way, they can find a way to get around things and get it done right the first (and only time for most women) the first time.
I know how you feel... honest
I can tell you this... in the past 6 months.. I have not had one regret and am SO ABSOLUTELY elated that its all behind me.
As for how you feel... feeling ill and all that... I can relate to all of that too. My last year of periods took a huge toll on me.. I feel very fortunate to have made it through as unscathed as I did. Part of feeling sick has to do with the amount of blood you pass. Oh how my stomach would ache... my body felt completely empty and I had zero energy. While I should have been in the ER for the last few periods due to my fainting spells.... all I could think about was sleep. Sleep came only when there was no pain involved.
I did take an ambulance ride last summer... I barely made it out of my house to the ambulance due to faintness. It wasnt until the next month that I went all the way out... and that was one of the times I was too weak to go to the hospital... 2 days later I had a transfusion.
Ever since my experience I am a new person.... I have so much more energy ... I dont fall asleep during the day anymore... I dont thing about it much anymore.. No regrets here.
I hope things go ok with you... I know how nervous you must be. Talk to your dr about any concerns and ask all the questions you can!!!
Take care