Doctor insights on:
Elective hysterectomy? Family history . Sister, ovarian cancer 54, mother uterine. No kids, stopped birth control 24, I am 60.
Possibly: Since your sister had ovarian cancer you are eligible to undergo brca testing. This tests for the gene that some women carry that increases the risk of ovarian and breast cancer. If that test is positive then you would consider an elective hysterectomy. If you have relatives with colon cancer then testing for lynch syndrome can also be done. Unless one of these is positive there is no need. ...Read more
Hysterectomy: The number of hysterectomies has declined steadily over the years. There are many more less invasive treatments now available for uterine pathologies, such as embolization for large uterine fibroids, ablation and Mirena for excessive uterine bleeding, hysteroscopic treatment for intrauterine growth, etc.. New therapies in the pipeline will further reduce the need for hysterectomy. ...Read more
No: What exactly is the source of this information. ...Read more
Bleeding & pain: Most hysterectomies are done when other methods fail to alleviate symptoms like abnormal bleeding and pelvic pain. Enlarged uterus, fibroids, endometriosis, and adenomyosis are some common causes of those symptoms. Hysterectomis are also done for cancerous conditions and sometimes in conjunction with pelvic relaxation corrective surgery. ...Read more
Minimally invasive: In terms of invasiveness: using the natural orifice approach is least invasive- this is a vaginal hysterectomy (vh). Next would be laparoscopic hyst, then robotic assisted hysterectomy (rah) &the most invasive is an open abdominal incision (laparotomy). Unfortunately, many surgeons do not have the skills or experience to perform vh or l'scopic hyst. ...Read moreSee 2 more doctor answers
Costs you the same: Insurance companies reimburse the most for an open hysterectomy, from which you will need about six weeks to return to work. The reimbursement to the surgeon is the same for laparoscopic and robotic, both of which can often get you back to work in 2 weeks (still no sex for 8 weeks.) those of us who have put in the time to learn robotic surgery do it because it is the best thing for our patients. ...Read moreSee 2 more doctor answers
Removal of uterus: This a surgical procedure under general anesthesia to remove the uterus. It can be done open, vaginally, laparoscopically, or with robotic assistance. It's usually done for bleeding abnormalities due to tumors or cancer, for prolapse, pain, or other abnormalities. ...Read moreSee 2 more doctor answers
2 weeks: A total laparoscopic hysterectomy done with the da vinci robot makes for a much easier recovery than a traditional hysterectomy. Usually patients can go home the same day or after an overnight hospital stay. Most can go back to work in 2 weeks unless they have a physically demanding job. No intercourse for 6-8 weeks. ...Read moreSee 2 more doctor answers
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