Vaginal Hysterectomy

Vaginal hysterectomy is the surgical removal of the uterus through the vagina rather than through a large abdominal incision. It may be considered for conditions such as uterine prolapse, abnormal bleeding, fibroids in selected cases, adenomyosis, or other benign gynecologic indications depending on anatomy and clinical goals. ^[1][2][3]

The route of hysterectomy is individualized. Vaginal hysterectomy is often preferred when feasible because it can reduce abdominal wall trauma and support recovery, but it is not the best choice for every patient. ^[1][2][4]

How is preoperative assessment performed?

Assessment typically includes gynecologic examination, review of symptoms, imaging when needed, discussion of the cervix and ovaries, prior surgery, prolapse status, and surgical alternatives. Patients should understand which organs are planned for removal and which are not. ^[1][2]

What is recovery like?

Recovery includes pain control, walking, bowel care, vaginal healing, and temporary restrictions on lifting and vaginal intercourse. The exact timeline varies, but healing is not instant simply because the incision is not visible on the abdomen. ^[1][2][4]

Risks and warning signs

Risks can include bleeding, infection, injury to nearby organs, blood clots, urinary problems, and anesthesia-related complications. Heavy bleeding, fever, foul discharge, severe pain, calf swelling, chest symptoms, or inability to pass urine warrant medical review. ^[1][2][4]

Sexual life and long-term expectations

Many patients recover well and return to sexual activity after the recommended healing period, but the experience is individual and may also depend on prolapse repair, pelvic floor symptoms, and whether the ovaries were removed. ^[1][2][3]