Scheduled TLH LSH or TLH? | HysterSisters
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Unread 11-09-2011, 12:32 PM

What made you decide which type of hysterectomy to have? I have prolapse and rectocele issues prompting the surgery. I'm scheduled for an TLH with possible tacking up of the vagina but after looking around a bit I'm wondering why I'm not leaving the cervix to help maintain structure. A call is in to the doctor.

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Unread 11-09-2011, 01:47 PM
Re: LSH or TLH?

I too have prolapse issues,(that's the reason for my hysterectomy) cystocele, rectocele and uterus prolapse, my doc recommended laproscopic vaginal hysterectomy. I'm keeping cervix for two reasons, support and there's nothing wrong with it. If it ain't broke don't fix it. I'm glad to keep my cervix I was told that any support is better in the future. If your cervix is healthy I would definitely keep it. Good luck. Cat
Unread 11-09-2011, 02:01 PM
Re: LSH or TLH?

There are different reason for leaving or taking the cervix. My Doc said that most women who have Adenomyosis like did have less pain when cervix is also out. I was on the fence and was reading pro and cons of it on this forum when my doc told me that I was not able to keep my cervix... it was a sick puppy...
This is a good source for info

I wanted the easiest recovery time so I found a Doc that was a specialist in the davinci method...
Glad I did... My recovery has been pretty good.

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Unread 11-09-2011, 02:14 PM
Re: LSH or TLH?

If you already have issues with prolapse, keeping the cervix is not going to suddenly magically help with pelvic support when it has not to date. It would have to be tacked up... which is the same thing they do with the vaginal cuff (or at least did in my surgery) if you don't keep the cervix. My prolapse was so severe my cervix was clearly visible to me without a mirror as it attempted to lead the way out of my body, and I was more than happy to grant it its freedom permanently. I have not missed it one bit.

It's a very individual decision, though... good luck with whatever you decide to do.

Unread 11-09-2011, 02:16 PM
Re: LSH or TLH?

The cervix is the neck of the uterus, not a separate organ, so sometimes what is affecting the rest of the uterus is also affecting the cervical portion. Additionally, it can be part of the problem when there are prolapse issues. With any type of uterine prolapse, it is the cervix which is falling and trying to make an exit on its own accord. As an FYI, the cervix can also prolapse post partial hysterectomy so those dealing with any type of prolapse issues need to work with a physician who is knowledgeable regarding all the ins and outs of prolapse to help assess your risks. A uro-gynecologist could be a good choice.

Also, if one is scheduled for a laparoscopic vaginal hysterectomy as (((Cat1357))) stated, the cervix will be removed. With that type of hysterectomy, some work is done laparoscopically and then the complete uterus with cervix is delivered vaginally. With the cervix being the bottom portion of the uterus, it actually comes out first during any type of vaginally hysterectomy. In some countries there are surgeons who will then separate the cervix and put it back inside, but that is not done in most countries including the U.S., Canada, and the UK.

For more information on the various Hysterectomy types, you can click on Hysterectomy Options in the blue bar at the top of the screen.

Unread 11-09-2011, 02:42 PM
Re: LSH or TLH?

Thank you all! Interesting information! Cat-we have the same issues! Surfer babe-the doc did talk about taking up the vagina wall but he wasn't certain-do I guess it would be the same. I just do t want it too prolapse and have the same issue again!
Unread 11-09-2011, 02:46 PM
Re: LSH or TLH?

Ask your DR about what you can do to minimize your chance of vaginal vault prolapse (that's what it's called when the vagina prolapses after a total hysterectomy). Kegel exercises are great; vaginal estrogen can help, as in losing weight (if you are overweight) and avoiding straining the pelvic floor by lifting heavy weights. I was told I should not lift over 25 pounds if I want to try to keep my pelvic floor the way it is, and I try to follow that guideline as much as possible.

Even so, there is no guarantee that you will not have further problems with prolapse whether you keep the cervix or not.

Unread 11-09-2011, 04:23 PM
Re: LSH or TLH?

Heard back from the doc. We're continuing on with the TLH and taking up the wall, repairing the rectocele and holding off on doing anything with the bladder. The urologist didn't think it was necessary at this time. Now to get ready for the holidays early so I can actually rest whe. It's time to rest!

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