Complications

Like all operations, hysterectomy carries the risk of some complications. Firstly, there are the usual risks of anaesthesia and the possibility of infection. In addition, neighboring organs of the uterus, nerves, soft tissue and the adjacent skin can be injured during the operation.

In some cases there may also be more severe bleeding. Following the operation, post-operative bleeding, excessive scarring, adhesions in the operated area, limited bladder function and, rarely, urinary and fecal incontinence (but only in the case of a congenital weakness of the connective tissue and only after several years after the operation) may occur. The sexual sensation usually remains unaffected after a hysterectomy.

Consequences

Probably the most important consequence of uterus removal is the permanent loss of the possibility of pregnancy. Also, menstruation no longer takes place (except when the cervix has not been removed). Hormonal deficits (which are similar to the symptoms of menopause, including hot flashes and dizziness) only occur if both ovaries with the uterus had to be removed. However, these symptoms can be counteracted by taking hormones.

Costs of a hysterectomy

The removal of the uterus takes place under stationary conditions. The costs for the procedure amount to about 3000 Euro. As a rule, the costs are covered by health insurance.

Duration of hospital stay

In case of uterus removal, an inpatient stay is necessary, because especially in the first days after the operation, it is very important to check the wound as well as the general condition of the patient. A hospital stay of about 5 to 7 days is normal. Longer stays may also be necessary in case of complicated procedures, poor general condition of the patient or serious pre-existing conditions.

Duration of sick leave

Patients who have had their uterus removed are hospitalized for approximately 5 to 7 days. During this time they are of course on sick leave and unable to work. After the operation, patients are usually taken off sick for about 2 to 3 weeks to ensure a good recovery. In case of complications or difficulties in the healing phase, a longer sick leave may also be necessary. Therefore, it is important that patients inform the treating physician of any complaints during their follow-up examinations.