Abdominal Hysterectomy
Abdominal hysterectomy is an operation to remove the uterus through an incision in the lower abdomen. It may be recommended when an open approach provides safer or more effective access than keyhole surgery. Whether the cervix, fallopian tubes or ovaries are also removed is a separate decision discussed before surgery.
When the Procedure May Be Recommended
An abdominal hysterectomy may be advised when minimally invasive surgery is not suitable or when more complex surgery is required. Common indications include:
The uterus is very enlarged due to large uterine fibroids.
The presence of gynaecological cancers, including uterine or cervical cancer.
The presence of complex pelvic disease where keyhole surgery may not be safe.
There is extensive scarring due to severe endometriosis or adenomyosis.
Some cases of advanced uterine prolapse.
What to Expect
Consultation, assessment and planning
Your first appointment focuses on understanding your symptoms, medical history and treatment goals. Mr Flint will review any previous investigations and may arrange additional tests if needed. All treatment options, including alternatives to surgery, will be discussed in detail.
Before surgery
If an abdominal hysterectomy is recommended, you will receive clear guidance regarding pre-operative tests, medications and preparation for surgery.
The operation
The operation is performed under general anaesthesia. A small incision is made in the lower abdomen, allowing the uterus to be carefully removed. In some cases, the cervix, fallopian tubes or ovaries may also be removed depending on the underlying condition.
Recovery
Patients typically remain in hospital for 2-4 days following the operation. Pain control, mobilisation and wound care are carefully managed during recovery.
Full recovery generally takes 6-8 weeks, during which time patients are advised to gradually return to normal activities.
A follow-up appointment will be arranged to ensure healing is progressing well.
Frequently Asked Questions
How long does recovery take?
Most patients need 6-8 weeks to recover fully after an abdominal hysterectomy.
Will there be a scar?
Yes. The incision is usually made along the lower abdomen in a bikini-line position, which typically heals well and becomes less visible over time.
Will I go into menopause after surgery?
Menopause will only occur if the ovaries are removed during surgery. If the ovaries remain, hormone production usually continues.
What are the risks of surgery?
As with any major operation, risks can include bleeding, infection, blood clots or injury to nearby organs. These risks are uncommon and will be fully discussed before surgery.