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Type of hysterectomy??? Type of hysterectomy???

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  #1  
Unread 04-26-2021, 07:27 AM
Type of hysterectomy???

I will be scheduling an appointment with my surgeon this week and am not sure what questions to ask.

I am wanting a partial hysterectomy leaving my cervix and ovaries. Originally I really wanted them to just open me up and do it. I just felt like this would be best since I wanted to leave my cervix and I really want it taken out whole. I don’t want it taken out in pieces just in case one of my fibroids is cancerous and they can see everything better.

I know there is a longer healing time and probably more pain as well. I really do not want to have it removed through the vagina. It seems like a lot of people have problems with the vaginal cuff.

Please help!! Any pros or cons and experiences would definitely help.

Also any questions that I should be asking my surgeon.

Thank you all!
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  #2  
Unread 04-26-2021, 11:28 AM
Re: Type of hysterectomy???

Hi April and welcome,

You are facing major surgery, so you’re doing the right thing to assess all your options. Our site does not promote one type of surgery over the other - but we all hope for the least invasive surgery possible.

Do you have reason to suspect one of your fibroids might be cancerous? Is your upcoming appointment with an oncologist-surgeon? I had three separate opinions that because of my suspicious mass and huge fibroids, I had to have a total abdominal surgery - removing ovaries as well and of course my cervix too. My risk for cancer was just too high.

I urge you to get several opinions so that you can make a well informed decision. Select the doctor you have the most confidence in
Yes accidents can occur with the vaginal cuff (I have one and luckily no tears or issues) but plan
On maximizing your chances of recovery by following doctor’s order for recovery.

Here is a list that you might find helpful:
Questions to Ask at a Pre Op Appointment

I strongly suggest writing your questions down so that you don’t forget anything. The first time I didn’t do that I didn’t think of my concerns until the way home :/.

I’m sure others here will weigh in with tips. Just take your time making a decision and do what is best for you.

Good luck. ❤️
  #3  
Unread 04-26-2021, 11:30 AM
Re: Type of hysterectomy???

Hysterectomy Types

Should I Keep My Cervix?

Should I Keep My Ovaries

5 Reasons to get a second Opinion

Take your time!
These are life changing decisions.

Best of luck!
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  #4  
Unread 04-26-2021, 07:02 PM
Re: Type of hysterectomy???

i kept my healthy cervix and ovaries and have had no problems. i'm very happy that i made that decision. i had an LSH but i didn't have any questions about cancer. i had a a d&c and hysteroscopy before my surgery to rule that out. i would get multiple opinions and if you're sure you want to keep your cervix, don't let any dr convince you that you don't need it.
  #5  
Unread 04-27-2021, 03:48 AM
Type of hysterectomy???


My surgeon had originally planned on a vaginal approach for my fibroids, because he was concerned about future cervical ones, along with the risk of cancer, among other things. However, my cervix was perfectly healthy, with no history of cancer or other issues, and I was concerned about the potential repercussions of removing it, plus my research clearly indicated that a vaginal approach would not be possible because I'd never had children. When we discussed it at our next appointment, he agreed that my cancer risk was negligible, because I'd had the fibroids for 9 years, and so we settled on LSH, with the cutting up part done inside a bag to prevent spreading anything, and he had everything biopsied, which was negative. I kept both healthy ovaries at age 48 because we agreed that the benefits of their continued hormone production outweighed the risks, but I did have my Fallopian tubes removed because recent studies suggest that ovarian cancer often starts there. I recommend doing your own research, so you can decide on what's right for you. Best wishes for whatever you decide!
  #6  
Unread 04-27-2021, 04:44 PM
Type of hysterectomy???

My doctor said the method where the uterus is diced up inside the body is currently not allowed by the FDA, so a laparoscopic surgery removing the uterus isn’t really a viable option. I, however, was fine with removing the cervix, and the Dr also strongly recommends a 12 week no penetration plan after removing the cervix.
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