Doctor insights on:
Vaginally Cuff Abscess Hysterectomy
A defect, not a tear: The healing of a vaginal cuff after vaginal hysterectomy is not always predictable or may not be complete or smooth for several weeks after surgery. A defect in the vaginal scar may on occasions occur without symptoms but it would be rather unlikely although not impossible that a "cuff tear" would take place without bleeding ". ...Read more
How long after hysterectomy can it take for vaginal cuff stitches to dissolve? I'm 11 1/2 weeks post op and still have some.
What could happen if the vaginal cuff wall was disrupted. After a robitic hysterectomy by having sex. What are the side affects?
Complete hysterectomy 4y ago. W/vaginal cuff revision 1y ago. Scar tissue removed. Painful sex. Spotting. Pain in back & abdomin. Low grade fever.?
Needs follow up: This is a complex situation with lots of possibilities. The fever should be addressed first since that could be caused by so many things. Then your gynecologist can assess the vaginal cuff. You may have granulation tissue, scar tissue, pelvic adhesions or a number of other issues which can be addressed. ...Read more
Blood + bacteria: These are among the most common complications after hysterectomy. Cellulitis probably occurs (mild) after most hysterectomies. Abscess is reported at +/-5% of cases, but most see it less frequently in the real world. Usually no avoidable cause is found (other than avoiding surgery). Most important is prompt diagnosis and proper treatment. ...Read more
Depends: The location and cause of the abscess is of importance and so is the reason for your hysterectomy. However, the basic approach is the same. The infection needs to be drained in some way, and antibiotics are needed but can't do the job alone is most cases. See your gyn surgeon if you suspect this problem. ...Read more
I had 2 hysterectomies uterus had fibroid tumor then uterus w/ abscess ovarie remain 1 had cyst suppose heal naturally bleeding year later w/ pain why?
Yes: Hysterectomies are very common procedures. Many doctors, but not all, feel comfortable removing the uterus through the vagina. It is a great way to have the surgery that is less invasive then an abdominal procedure, results in less pain and risks with a quicker recovery. Talk to your doctor about all the options, pros and cons. ...Read more
Not unless shortened: There is no impact on vaginal health unless the surgeon resects too much vagina in the process of doing the hysterectomy, if the cervix is removed. "Partial hysterectomy" can mean removing only the uterus and no cervix, or the uterus with retention of the tubes and ovaries. ...Read more
Yes: A vaginal hysterectomy is still an option, however a laparoscopic (with or without robotics) will likely be a safer route for the hysterectomy. ...Read more
Vaginal Hysterectomy: Vaginal hysterectomy is the removal of the uterus and cervix through the vagina (with no visible incisions/ scars). The procedure offers faster recovery and lower risk than abdominal surgery. The ovaries and tubes can also be removed at the same time, or left in place. ...Read more
Some weeks: The vaginal odor after a hysterectomy is a combination of small amounts of blood from healing incisions and somewhat of discharge from suture material. As the vaginal incisions heal, the bleeding stops and the suture finishes dissolving the odd odor goes away. This can take 3-5 weeks in my observation. ...Read more
Varies: After an uncomplicated vaginal hysterectomy most women should be able to drive within 3 to 4 days and some even sooner. ...Read more
No visible scar: A circular incision is made around the cervix through the vaginal wall. The abdominal cavity is entered between the rectum and cervix through the vagina. The bladder is separated from the cervix. The arteries feeding the uterus are tied off and cut. The uterus is delivered through the vagina. The ligaments supporting the uterus and cervix are reattached to the vagina. The vagina is closed. ...Read more
Walking: Walking is something you can do right away. Most important is not to lift anything heavier than about 10 pounds. Doing so would increase interabdominal pressure and put strain on your sutures in the vagina. If you feel your stomach muscles flexing, then likely you shouldn't do it. But walking is great. Improves circulation and healing overall. ...Read more
I had a vaginal hysterectomy 4 weeks ago. I still have pain. When will I start to feel better and start to doing things around the house.
Talk to your surgeon: Call your surgeons office and ask as I am not aware of the details of your surgical procedure, how it was performed, and what complications were attendant therein. ...Read more
I had a vaginal hysterectomy on 1-28-2016. I've been carefully bending and reaching for items with no pain. Should still not do these things?
I had a hysterectomy 17 days ago, follow up was Wed, things were fine. Today, I started experiencing vaginal discomfort near the clitoris. Any help?
Many: In the short term, a small amount of spotting and discharge are normal - as well as some degree of discomfort (pain). In the long term there may be many benefits, but the primary side effect is that you will never have any uterine bleeding - which is good. It is difficult to answer this question without knowing why the vaginal hysterectomy is needed. ...Read more
Many possibilities: You can get vaginal itching for the same reasons as before your hysterectomy! for example, vaginitis (yeast or candida is very common), an allergic reaction to something you had contact with (like a cosmetic, soap, clothing dye, douche, etc), an infection with herpes, and other skin conditions. ...Read more
Many possibilities: There are many things that can cause vaginal burning regardless of whether or not you have a hysterectomy. Burning pain is a classic description of nerve pain and can be caused by any of the things that cause neuropathy including nerve damage at the time of surgery. Hopefully this helps. Some of the meds used for neuropathy like neurontin or cymbalta (duloxetine) can help frequently. ...Read more
Same as any surgery: The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain, postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. ...Read more
Yes: This may occur.Get a more detailed answer ›
Varies: Vaginal hysterectomy is generally much less painful than an abdominal hysterectomy because there is no incision in the abdomen. Most of the pain from surgery comes from the skin incisions, with a vaginal surgery the only incision is at the top of the vagina and there are few pain receptors locted there - hence much less pain. ...Read more
Right away: There is no danger with external/clitoral stimulation almost immediately if you feel up to it. The precaution is not to insert anything vaginally, and certainly not deep because the cuff where the uterus was removed needs to heal. Placing anything into the vagina can rip open the sutures. Otherwise there are really no issues. ...Read more
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