Causes
There are many reasons to remove the uterus. But not every reason is a “must”. Often it is also possible to operate to preserve the organs.
Urgent reasons for surgical removal of the uterus are There are also reasons to remove the uterus that are not a “must”. These include: Depending on the disease, the individual risk of the patient must be considered, and the age and condition of the patient also play a role.
- Bleeding, especially heavy, uncontrollable bleeding, such as after birth
- Cancer of the uterus (depending on the type of cancer, radiotherapy or chemotherapy may not be sufficient or may be easily treatable)
- Likewise cancer of the ovaries (also here the decision is made according to the stage)
- Severe inflammation of the uterus
- Benign tumors of the uterus, such as the quite common myomas
- Adhesions in the lower abdomen area
- Menstrual disorders (frequent or heavy periods)
- Very painful menstrual bleeding, such as endometriosis (occurrence of the uterine lining outside the uterus)
- Uterus prolapse or uterus prolapse after birth
- Uterine prolapse
Consequences of hysterectomy
After the removal of the uterus, the patients have : After the removal of the uterus with ovaries, the following aspects are also considered:
- No period
- Can no longer become pregnant afterwards
- Entering the menopause earlier
- The menopause occurs quite quickly after the removal of the ovaries
- The risk of osteoporosis increases due to the lack of estrogen
Complications of the operation
Complications may occur during the operation, including injury to organs located nearby, such as the intestines, bladder, ureters and ovaries. There may also be bleeding during and after the surgery, if it becomes severe, it can be treated with donor blood or blood-like solutions (called colloid). Sometimes there are also urinary tract infections after the operation, which can usually be easily treated with antibiotics. Urinary incontinence occurs less frequently.
