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Doctor insights on: Hysteroscopy Vs Hysterectomy

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Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
1

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Mutiple hysteroscopy w/ d&c for recurring endometrial benign polys now have cin 1 tiny lesion which was removed unreasonable to ask for hysterectomy?

Mutiple hysteroscopy w/ d&c for recurring endometrial benign polys now have cin 1 tiny lesion which was removed unreasonable to ask for hysterectomy?

Yes: It appears that you are done with childbearing. If the symptoms are troublesome and risk of cancer is causing concern, you should discuss the option of removal of uterus with your doctor. The surgery is generally safe.

Dr. Shiao-Yu Lee
338 Doctors shared insights

Hysteroscopy (Definition)

Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered ...Read more


Dr. Dennis Higginbotham Dr. Higginbotham
Obstetrics & Gynecology
26 years in practice
University of Kansas School of Medicine
2

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Have uterine polyps diagnosed with hysteroscopy. Going to surgery to remove polyps outpatient. Why not just have a hysterectomy?

Have uterine polyps diagnosed with hysteroscopy. Going to surgery to remove polyps outpatient. Why not just have a hysterectomy?

Good question: You should discuss that with your doctor. Endometrial polyps should be removed, but a hysterectomy is also an appropriate treatment option for a woman with endometrial polyps.

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Dr. Jeff Livingston Dr. Livingston
Obstetrics & Gynecology
18 years in practice
University of Texas Southwestern Medical School at Dallas
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Dec 20 had hysteroscopy d&c pap and IUD inserted. Jan6 got infection. Still bleeding pain etc... Should I be looking at a total hysterectomy?

Dec 20 had hysteroscopy d&c pap and IUD inserted. Jan6 got infection. Still bleeding pain etc... Should I be looking at a total hysterectomy?

Big jump: Perhaps there are more details that what you mention but that seems like a very dramatic step. Probably it would be best to schedule a visit and discuss your options one on one.

Dr. Parul Krishnamurthy Dr. Krishnamurthy
Obstetrics & Gynecology
30 years in practice
Bombay University, Dr D. Y. Patil Medical College
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Is a polyp usually detected with a hysterescopy & removed with D&C. Mine wasn't, only seen when I had hysterectomy for thickened uterine lining.

Is a polyp usually detected with a hysterescopy & removed with D&C. Mine wasn't, only seen when I had hysterectomy for thickened uterine lining.

Yes: A polyp should be seen with hysteroscopy, D&C alone may result in incomplete removal of the polyp, unless hysteroscopy is done after the D&C to make sure that the polyp was removed.

Dr. Joel Pranikoff Dr. Pranikoff
Obstetrics & Gynecology
30 years in practice
University of Cincinnati College of Medicine
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What is subtotal hysterectomy?

What is subtotal hysterectomy?

Top part of uterus: A subtotal (or partial, supracervical) hysterectomy removes part of the uterus (the fundus or body) and leaves the cervix in place. A total (complete) hysterectomy is the removal of the whole uterus (body of the uterus as well as the cervix).The removal ovaries is a separate procedure (oophorectomy). Removing everything is a total hysterectomy and a bilateral salpingo (tubes)-oophorectomy.

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Dr. Miguel Cano Dr. Cano
Obstetrics & Gynecology
26 years in practice
Keck School of Medicine of University of Southern California
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Is it normal to need a hysteroscopy?

Is it normal to need a hysteroscopy?

Nope: Hysteroscopies aren't part of a well woman's exam. If your doctor recommends it, it's usually to address abnormal bleeding, a lost iud, or to evaluate for infertility. Now it's also used for permanent birth control.

Dr. Jeff Lin Dr. Lin
Gynecology - Oncology
10 years in practice
Northwestern University Feinberg School of Medicine
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Are there alternatives to a hysterectomy?

Are there alternatives to a hysterectomy?

Yes, many: Depending on what sx you are trying to alleviate, there are many options, including: Medications that decrease bleeding Hormones that decrease bleeding or can shrink the uterus Hysteroscopic procedures that are done through the vagina in office or surgery center for bleeding or fibroids in endometrial cavity IR procedures that block bloodflow to uterus&shrinks it Ultrasound energy to shrink, etc.

Dr. Richard Orr Dr. Orr
Surgery - Oncology
40 years in practice
University of South Florida College of Medicine
8

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What are the complications of a hysterectomy?

Infection bleeding: Hysterectomies have a low risk of complications. Infections in the abdominal wall, urine, or vaginal cuff sometimes occur. Bleeding into the wound or significant vaginal bleeding is less common. Very rarely, serious complications occur including intraoperative bleeding, injury to the intestine or urinary tract, or blood clot in the legs or to the lungs.

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Dr. Wendy Askew Dr. Askew
Obstetrics & Gynecology
20 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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My wife needs a hysterectomy. Recommendations?

My wife needs a hysterectomy. Recommendations?

Depends on her condi: If she has cancer, or precancerous cells of the uterus, or has excessive bleeding and/or pain, or anemia, or concerns for an ovarian cancer then a hysterectomy may be necessary. But if her condition is bleeding or pain, there are often other options and if she does not want a hysterectomy, she should seek a second opinion from another gynecologist, to make sure all options are discussed.

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Dr. Dennis Higginbotham Dr. Higginbotham
Obstetrics & Gynecology
26 years in practice
University of Kansas School of Medicine
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How to know if I need to have a hysterectomy?

How to know if I need to have a hysterectomy?

Various reasons: There are a number of appropriate indications for hysterectomy including bleeding that doesn't respond to medical management, prolapse of the vagina or uterus, painful periods, endometriosis, etc. Your gynecologist will be able to help you decide if your best treatment option is a hysterectomy.

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Dr. Elizabeth Hutson Dr. Hutson
Gynecology
24 years in practice
Southern Illinois University School of Medicine
11

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Any risks with davinci supracercival hysterectomy?

Any risks with davinci supracercival hysterectomy?

As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team.

Dr. Katherine Sutherland Dr. Sutherland
Gynecology
39 years in practice
Stanford University School of Medicine
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What are some of the risks of having a hysterectomy?

What are some of the risks of having a hysterectomy?

Many: Risks of a hysterectomy include infection, bleeding, injury to the bowel or bladder, deep venous thrombosis, anesthetic complications, or even death. Fortunately, serious risks are rare.

Dr. David Doucette Dr. Doucette
Obstetrics & Gynecology
35 years in practice
Loma Linda University School of Medicine
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What are the reasons most hysterectomies are performed?

What are the reasons most hysterectomies are performed?

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.

Dr. Shiao-Yu Lee Dr. Lee
Gynecology
years in practice
14

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What kind of complications might happen from a hysteroscopy?

What kind of complications might happen from a hysteroscopy?

Hysteroscopy: The main complication of hysteroscopy is perforation of the uterus. If the hysteroscopy is a lengthy one, there is the possibility of excessive absorption of the fluid necessary for distention of the uterus. If heat is used for certain treatment, there is the possibility of un-intentional burns. There are other complications common to all surgeries, such as infection, drug reaction, etc..

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Dr. Alan Patterson Dr. Patterson
Obstetrics & Gynecology
38 years in practice
Indiana University School of Medicine
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Insomina after a hysterectomy?

Call your doc: Who did the surg u may need hormones or sleeping pills.

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Dr. Cynthia Frazier Dr. Frazier
Gynecology
35 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
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What is a sub total hysterectomy?

In a subtotal: hysterectomy the uterus is removed but the cervix and supporting tissues are left intact.

Dr. Michael Hulse Dr. Hulse
Gynecology
23 years in practice
East Tennessee State University James H. Quillen College of Medicine
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Could you have laser hysterectomy?

Yes: The use of laser technology in performing hysterectomy is not common. Their are many methods of performing a minimally invasive or laparoscopic hysterectomy that are just as effective and safer than laser. The vast majority of hysterectomies performed can be performed through tiny laparoscopic incisions.

Dr. Barbara Toppin Dr. Toppin
Obstetrics & Gynecology
years in practice
University of Cincinnati College of Medicine
18

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What is keyhole hysterectomy surgery?

What is keyhole hysterectomy surgery?

Laparascopic: It is laparascopic surgery via and small incision near the belly button.

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Dr. PAUL EUN Dr. EUN
Obstetrics & Gynecology
34 years in practice
Loma Linda University School of Medicine
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What are the risks of a hysterectomy?

As listed: The risks include infection, bleeding, injury to internal organs such as bladder, bosel, ureter, and blood vessels, reaction to medication/anesthesia, blood clot formation, and complication of surgery leading to another surgery. The risks also vary depending on your medical/surgical history and the route of hysterectomy.

Dr. Alan Patterson Dr. Patterson
Obstetrics & Gynecology
38 years in practice
Indiana University School of Medicine
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What are the risks of a hysterectomy?

Please discuss with: Your gyn as your gyn should discuss all of the possible major risks to you, many the vast majority of women have no problems, but some of the risks are infection, post op bleeding, blood clot after surgery, very rarely even death, fistula, etc the benefits to you should vastly outweigh any risks or u should not have the surgery, u can also go online and read.

Dr. Jeff Livingston
1,872 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more