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Women's health

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Opposition to laparoscopic hysterectomy?

2 replies

Cherryann · 12/01/2024 08:58

Hi, I’ve been recommended a hysterectomy for adenomyosis causing severe pain & not responsive to other treatments.

The (private) consultant I’m seeing specialises in gynae cancers (I’m not thought to have cancer- all scans show only adenomyosis- just ended up with him).

He has explained that he will not perform laparoscopic hysterectomies as a matter of principle as there is a small risk that, if a woman has undiagnosed cancer, cutting up the uterus in laparoscopic removal will spread it throughout the abdomen & result in incurable cancer. He clearly felt very strongly about this! (He will however perform ‘normal’ laparoscopies, ie investigatory ones, that don’t involve cutting up the uterus.)

He has recommended a laparoscopic vaginal hysterectomy- the laparoscopic element purely investigatory, with uterus being removed through vagina.

I was a bit disappointed by this as it would mean losing the cervix (unless I opt for abdominal, which he will also do).

Has anyone else been given this advice about laparoscopic hysterectomy & cancer? I’m wondering about getting a second opinion but won’t do if this is standard!

OP posts:
Antagonishy · 29/03/2024 11:55

Just spotted your post via another one, and saw you never got a response. My surgeon advised exactly the same and so I had what he called Laparoscopic assisted surgery. The cut the ligaments via the laparoscope but removed everything, including ovaries via the vagina. I'm not missing my cervix one bit, and actually am quite smug I won't need a smear test ever again 🤣. Recovery time was between 4-6 weeks. I could just about work at a desk after 4, but exercise took longer.

Featherlightdumplings · 29/03/2024 11:58

I had my hysterectomy and ovary removal abroad but my surgeon did the same thing eg vaginal removal. I’ve never heard of it being done differently tbh!

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