46 Hysterectomy Doctors in Mumbai

Frequently Asked Questions

What is Hysterectomy?

Hysterectomy is a medical procedure which involves the surgical removal of the whole uterus [womb] or part of the uterus. In certain conditions, the upper part of the vagina or ovaries or fallopian tubes or tissues on the sides of the uterus may also be removed by the doctor.

Hysterectomy is mainly of four types and they are:

1. Total hysterectomy 
2. Subtotal hysterectomy
3. Radical hysterectomy 
4. Total hysterectomy with bilateral salpingo-oophorectomy

Hysterectomy can be performed in three different ways:

1. Abdominal hysterectomy
2. Laparoscopic hysterectomy
3. Vaginal hysterectomy

Who can perform Hysterectomy?

Hysterectomy can be performed by:

1. Any MD [Doctor of medicine] with several years of experience in hysterectomy.
2. An experienced Gynaecologist with extra training in hysterectomy surgery.

What is the cost of Hysterectomy in Mumbai?

The cost of Hysterectomy may differ according to  the following:

1. Doctor fee
2. Age of the patient
3. Admission fee
4. Type of hospital
5. The type of surgery planned to be performed
6. The health condition of the patient
7. The room that you opted for

The minimum cost for Hysterectomy in Mumbai starts from Rs.49,500.

An average cost for Hysterectomy in Mumbai is approximately Rs.90,839.

The maximum cost for Hysterectomy in Mumbai is up to Rs.1,47,545. 

What are the indications of Hysterectomy?

Hysterectomy may be indicated in the following conditions:

1. Chronic pelvic pain
2. Uterine fibroids
3. Adenomyosis  
4. Uterine prolapse 
5. Cervix or ovaries cancer
6. Persistent vaginal bleeding 
7. Uterine cancer
8. Endometriosis even after surgery or medical treatment

What are the advantages of Hysterectomy?

The following are the benefits of Hysterectomy:

1. It treats severe pelvic inflammatory disease [PID].
2. Hysterectomy prevents cervix, ovarian, and uterine cancer.
3. Hysterectomy can improve the quality of life.
4. Hysterectomy reduces abnormal bleeding and pains.
5. It treats the uterine prolapse and other health conditions such as uterine fibroids.

What will be the preparation for hysterectomy?

Before surgery, the doctor may prescribe the following tests for the patient:

1. Blood and urine tests 
2. MRI scan 
3. CT scan
4. Ultrasound of pelvic
5. D & C test [Dilation and Curettage test]
6. X-ray of kidneys and abdomen

Following are the preparation steps for Hysterectomy:

1. Have a light meal on the night of surgery.
2. Stop smoking or drinking before surgery.
3. Let the doctor know about the medical history and medications.
4. Avoid taking medications a week before the surgery or as instructed by the doctor.
5. The patient may be asked to take enemas to clean the intestines.
6. The patient should know all the risks, complications and benefits of having a Hysterectomy.

How Hysterectomy is performed?

Surgical Hysterectomy:

1. An incision is made in the lower abdomen region. 
2. This is followed by cutting the tissue and the blood vessel will be tied off to avoid blood loss.
3. Later, the uterus is removed and if the patient is suffering from uterine cancer or cervix cancer, then the ovaries, cervix, fallopian tubes, surroundings tissues, and lymph glands may also be removed.
4. After the removal of the uterus or other parts, the abdominal wall will be sutured together.
5. Then the incision is closed with the help of either stitches or staples.
6. If the cervix is also removed, then the sutures are made on top of the vagina.

Vaginal Hysterectomy:

1. In a vaginal hysterectomy, no incisions are involved.
2. The vagina is stretched and will be kept open with the help of surgical instruments.
3. Then the blood vessels which are collected will be tied off.
4. Later, the uterus and cervix will be removed by the surgeon.
5. After removal of the uterus and cervix, sutures are made on top of the vagina.

What is the post-procedure care for Hysterectomy?

The following are the post-care steps for Hysterectomy:

1. IV will be removed if the patient is eating or drinking well enough.
2. The patient will be wearing special boots to prevent the blood clots in the legs.
3. To urinate well, the patient may have a catheter in the bladder.
4. Walk for a short distance on the night of the surgery.

After discharge from the hospital, the patient will be provided with some instructions by the doctor and they are:

1. Take ample rest and avoid lifting heavy weights for at least 2 weeks. 
2. If severe pain is experienced, then take pain killers which were prescribed by the doctor.
3. Know from the doctor when to start back the exercises.
4. Avoid sex for at least 6 weeks.

If the patient experience the following symptoms, inform the doctor immediately:

1. Infection with fever and chills
2. Heavy bleeding
3. Shortness of breath
4. Pain during urination
5. Redness, swelling, any discharge from the site of infection
6. Vomiting or nausea that is not controlled by medications

What is the recovery time?

Recovery time may vary from one person to the other

1. A vaginal hysterectomy takes about 3 to 4 weeks of a recovery period. 
2. An abdominal hysterectomy takes 6-8 weeks of recovery time.

Is Hysterectomy a major surgery or minor surgery?

Hysterectomy is a major surgical method as it requires longer recovery time and after this surgery, you will no longer have menstrual periods and cannot become pregnant.

What is the eligibility criteria for Hysterectomy?

1. Women whose age is above 18 years.
2. Women with a certain size of the uterus are eligible for vaginal hysterectomy.
3. Women suffering from ovarian cancer, cervix cancer, and uterus cancer, etc.
4. Women who want to decrease the chance of developing ovarian cancer.

What is the ineligibility criteria for Hysterectomy?

1. Women whose age is below 18 years old.
2. Women who want to conceive.
3. Women who don't want to lose the uterus.
4. If the medical treatment works in improving the conditions like fibroids, and endometriosis, etc. in women, then they are not eligible.
5. Women with a weak health condition and poor immune system.

What are the risks and complications associated with Hysterectomy?

The following are the risks involved in Hysterectomy:

1. Severe pain
2. Severe infection
3. Bleeding
4. Blood clots
5. Urinary tract infection
6. Vaginal prolapse may occur
7. Tissue or nerve damage
8. Breathing or heart problems that are related to anesthesia
9. Damage to surrounding organs like bladder or rectum

How long does it take to complete Hysterectomy?

Usually, Hysterectomy may take around 1-3 hours to complete. 

What is the success rate of Hysterectomy?

The success rate of Hysterectomy depends on the following factors:

1. Age of women
2. Type of hysterectomy used by your doctor
3. The health condition of the patient

The success rate of Hysterectomy is 92.1% to 96%.

Is Hysterectomy Permanent?

After undergoing any type of Hysterectomy, you will be no longer have your periods and cannot get pregnant or cannot conceive. These are lifelong or permanent effects.  

Is Hysterectomy painful?

During the surgery, anesthesia is given to the patient and hence there will be no pain. However, after completion of the surgery or during the recovery time, you may suffer from mild to moderate pain for up to a week. In such cases, if the pain is severe, some pain killers or pain medications will be given to you by your doctor.

What are the long-term results of Hysterectomy?

1. Dryness of the vagina
2. Reduced sexual drive
3. Pain during sex
4. Organ prolapse may occur
5. May cause depression as they have lost the uterus and not able to give birth

Can Hysterectomy be detected in the future?

Hysterectomy may be done by either vaginal or abdominal. So, if hysterectomy is done by abdominal, then there may be a presence of scars over the lower abdominal area. However, hysterectomy can be detected in the future by any doctor who examines your reproductive organs or can be detected through scanning. 

What are the options if Hysterectomy is not successful?

The following are the options if Hysterectomy is not successful:

1. Age of women
2. The health condition of the patient
3. Hydro-dilation
4. Hygroscopic dilation
5. Ultrasound guidance with a trans-abdominal probe
6. Dilating the cervix with vaginal misoprostol
7. Type of hysterectomy used by your doctor
8. Using mechanical dilators like Sims sounds and Hegar dilators

What will be the alternatives for Hysterectomy?

The following are the alternatives for Hysterectomy:

1. Medical treatment by NSAIDs, oral contraceptives, etc.
2. Pessary placement
3. Hormone therapy
4. Myomectomy
5. Focused ultrasound surgery
6. Endometrial ablation
7. Uterine artery embolization