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Vaginal Cuff Surgery

From the Separate Surgeries Articles List

Vaginal Cuff SurgeryWhy might I need vaginal cuff surgery?


In general, you should not need vaginal cuff surgery following your hysterectomy. However, there are a few conditions and complications that can require surgery.

A tear in the vaginal cuff is one reason you may need vaginal cuff surgery. Depending on the extent of the tear, it can be repaired vaginally, laparoscopically, or with a laparotomy. Surgery will often need to be done in a surgical center under anesthesia. The less invasive the surgery and the smaller the repair, the less pain and less recovery time it will require. To help ensure that the repair is successful, it is important to follow your doctor’s orders regarding intercourse, bathing, and lifting. Doing too much too soon and engaging in activities that stress the area could cause the repair to re-tear.

Vaginal cuff revision may be needed for a variety of reasons. If the vaginal cuff does not heal as it should, it can create uncomfortable and painful symptoms. If necessary, surgery can be done to recreate the cuff so it can heal properly.

At times, the sutures used to create the vaginal cuff do not completely dissolve or a knot may remain. If these cause uncomfortable or painful symptoms, your surgeon may do a cuff revision and remove them.

While healing, the vaginal cuff may also adhere to surrounding areas such as the bowel, bladder, ovary, and rectum. The adhesions connecting the areas can cause pain and discomfort as they pull the organs and tissues out of place, bind the two together, distort their structures, and prevent them from working properly. To relieve symptoms, surgery may be done to remove the adhesions and free the cuff from the nearby organs and tissues to which it has adhered.

Depending on the situation, surgery for vaginal cuff revision can be done vaginally, laparoscopically, or through a laparotomy. It will generally be done in a surgery center under anesthesia, but the surgery may not require an overnight stay. In some cases the vaginal cuff will be completely opened and repaired, and in other cases only the affected layers may require surgical treatment. Pain, recovery, and restrictions will depend on your particular situation, how extensive the repair was, and the method used for the repair.

Other reasons for surgery involving the vaginal cuff include endometriosis, fibroids, polyps, cysts, neuromas, or other conditions which can grow on or in the cuff. During surgery, the growths and unwanted tissue can be removed and the vaginal cuff repaired. The location and extensiveness of the conditions will determine if the entire cuff must be recreated and if surgery can be done vaginally, laparoscopically, or through laparotomy.

As with any surgery, it is helpful to choose a skilled and experienced surgeon to minimize complications and provide a more optimal outcome. Seeking a second opinion can help you choose the right surgeon and surgery option for you. Risks of surgery can include a shortened vagina, infection, bleeding, injury to surrounding organs, and adhesions. In addition, anesthesia or medication reactions may occur. As such, you will want to work with your surgeon to carefully weigh your pros and cons to determine what is best for you.


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.

07-25-2014 - 12:04 PM


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