Vaginal hysterectomy and repair
Vaginal hysterectomy and repair is the most commonly
used operation to correct a prolapse or 'dropped' uterus
caused by weakness in the muscles of the pelvic floor. Prolapse
causes the uterus, bladder and sometimes the rectum (or
back passage) to 'drop' through the vagina.
In this operation, the uterus and cervix are removed
through the vagina rather than through an abdominal
incision. The bladder and rectum are also restored to
their normal positions. The vagina is closed off and
remains its normal length. The ovaries are left intact.
The operation is carried out under a general anaesthetic
and takes about 1 to 1-and-a-half hours.
During the operation, a catheter may be passed
up the urethra into the bladder to drain off the urine.
A vaginal pack made of gauze may also be inserted to prevent
postoperative bleeding.
There will be some discomfort following surgery
which
will be controlled with pain killers. Some postoperative
bleeding and discharge should be expected.
The average hospital stay is 4-5 days and normal
activities can usually be resumed within 6 weeks.
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