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Vaginal Hyst versus Abdominal Hyst:  Opinions Please Vaginal Hyst versus Abdominal Hyst: Opinions Please

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Unread 05-10-2004, 06:22 PM
Vaginal Hyst versus Abdominal Hyst: Opinions Please


My doctor and I are trying to decide whether a vaginal or an abdominal hyst is best for me. I have fibromyalgia, chronic fatigue syndrome, diabetes, and hypertension, all risk factors with anesthesia, a reason to have a vaginal versus an abdominal for less time under. I have also read some posts here that consistently seem to say that recovery time is lessened with a vaginal hyst, another plus for the vaginal. I have had some abnormal paps among the normal ones for the past 3 years. I have had 2 sizeable blisters on my cervix, I have had severe side, abdominal and pelvic pain for the past 2 years. I have PCOS with multipled cysts inside my ovaries. I want a pathology report done on my organs. I also want the doctor to take a look at my appendix and take it out if its inflamed. I also want to know if there's endo, which I understand cannot always be detected by a transvaginal ulstrasound. I am also worried about the possibility of cervical or ovarian cancer, that subtle killer, which isn't easily detected, especially since I have blisters on the cervix and abnormal paps. I am leaning toward the abdominal procedure, but my question is, can I get the satisfaction I seek with a vaginal procedure? Ladies, what the main differences between vaginal and abdominal? Can my doctors still find everything I want to know either way? Please share your experiences. Thanks.
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Unread 05-10-2004, 06:30 PM
Vaginal Hyst versus Abdominal Hyst: Opinions Please

I was not given a choice because the DR thought there was a possibility I had ovarian cancer. He said if cancer is even suspected they need to do abdominal so not to spread it. My incision is vertical but I don't think recovery has been so bad (so far). As far as being under, my surgery was at 7:30 and over at 9:00. Perhaps you could discuss the different options with your DR. Good luck to you!
Unread 05-10-2004, 07:47 PM
Vaginal Hyst versus Abdominal Hyst: Opinions Please


If you haven't already, check out the resources. Click on <resources> at the top of the page, and go to Pre-Op. There are discussions and explanations of the different types if surgery methods, and the pros/cons of each, etc.

There is lots of great information there for you.

Is your DR leaning one way or the other? Read and research as much as possible to help you, in conjunction with your DR, make the best decisions for you.

Best wishes!

Here is the link to the Pre-Op resources:
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Unread 05-10-2004, 09:03 PM
Vaginal Hyst versus Abdominal Hyst: Opinions Please

Hi, my doctor thought that at my age and with a history of adhesions needing repair and a largish uterus that a transverse abdominal hyster would be best for checking out whether ovaries were good or not. I ended up keeping them. Being vain, I didn't want a scar, but it is so low, and has healed so well, that it is going to be hardly noticable. I certainly had an easy recovery and am reassured that they had a good look inside.

I also have high blood pressure and a history of allergy (including to anaesthetics) but the op was done in a couple of hours and I've had no ill effects from anaesthesia (apart from a mild thrombosis at the IV site). Modern anaesthetics are so much better than the ones of thirty years ago when I had my bad reactions to them. My (year older) sister has diabetes and she has also in recent years had three different operative procedures, one of six hours duration, and she sailed through these.

I initially wanted a vaginal hyster but note now that plenty of the sisters have had problems from these that I didn't know about so now I'm pleased that I don't have extensive vaginal repairs to recover from (DH is pleased too!!). Ultimately though the decision is up to you unless your doctor feels (as mine did) that there is a preferred way to go.

Best of luck in your op

Unread 05-11-2004, 06:59 AM

On thurs 13 may i go in for a vag hyst. The gyny said, if all goes well - otherwise i'll wake up with an abdominal cut too. The vag supposedly heals better. I had precancer on the cervix twice many yrs ago.

Why bother getting your appendix out, they're behaving themselves aren't they? I'm leaving my ovaries, got rather attached to them and don't want to go straight into menopause. I'm 50. Supposedly I was told they can't remove the ovaries vaginally. I have fibromyalgia and forgot to tell them I have chronic fatigue, oops! I was hoping that would improve after the op.

It sounds like you're researching what's best to do, so I'm sure you'll make the right decision. I keep a book which I write all my info and questions in so I didn't foget anything, so many contradictions.

My first gyny said fibroids tho they didn't show up on the pelvic unltrasound, the next 2 gynys said 'no fibroids'. I like the third gyny who admitted he didn't know what was wrong with me cept I need the hyst. Having the vag posterior repaired also. First gyny insulted my prolapsed vag - third said - average for your age, doesn't need repairing, but I suggested a repair, I pray I made the right choice there. Removing the cervix as I don't want to have to worry about it going precancerous again.

Petrified of the anesthetist and the drip tho and the fact I may bleed too much during the op or not heal well.

Huuuugs you sound intelligent and you WILL make the right choice darling.
Unread 05-11-2004, 07:18 AM
Vaginal Hyst versus Abdominal Hyst: Opinions Please

I discussed both options with my GYN and we decided on the TAH for a few reasons. I had a C-Section with my first child and the GYN was concerned with adhesions from that. Also, my second child was a very difficult vag birth and he thinks that my petite size could have something to do with that. he was willing to try, but couldn't guarantee that he wouldn't have to do TAH anyway so I decided to go to go with the abdominal. However, instead of general, I had an epidural with a sedative and am so happy that I did. I woke just as they were cleaning me up and spent a very short time in recovery - I was awake and alert right away an I am convinced that it has helped make my recovery easier.
Unread 05-11-2004, 07:32 AM
Vaginal Hyst versus Abdominal Hyst: Opinions Please

Maybe he might want to do a laparascopic thingy first to check on the size of your womb . Mine was way enlarged so I could not go the vaginal route . He had done a diagnostic laparascopy a year or two back so he knew .

BUt the other risk factors must be taken into consideration too . It might help to discuss all optiosn with an anaesthetist if one is available for a chat


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