Vaginal hysterectomy

Removal of the uterus through the vagina to treat prolapse, heavy bleeding or other gynaecological conditions

When is it recommended?

• Uterine prolapse
• Heavy or irregular bleeding not controlled with medication or less invasive treatments
• Fibroids causing symptoms
• Adenomyosis or chronic pelvic symptoms where hysterectomy is appropriate

What does the procedure involve?

• Performed under general or spinal anaesthetic
• The uterus is removed through the vagina; the cervix may be removed at the same time
• If needed, a support procedure for prolapse (such as a vaginal wall repair) can be performed during the same operation

Ovaries and fallopian tubes
Removal of the ovaries or fallopian tubes is considered on an individual basis. Where appropriate, the fallopian tubes may be removed to reduce future ovarian cancer risk while preserving ovarian hormone function.

Recovery
Hospital stay is usually one night. Expect light bleeding and cramp-like discomfort for a few days. Most women resume light activities within 1–2 weeks and gradually return to full activity over 4–6 weeks. Avoid heavy lifting until advised.

Benefits

• No abdominal incisions and typically faster recovery than abdominal surgery
• Effective treatment for prolapse and heavy bleeding
• Can be combined with other vaginal procedures when needed