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Vaginal Hysterectomy

  • Swati Jha
  • Linda Cardozo
Chapter

Abstract

A vaginal hysterectomy is the commonest surgical procedure performed for uterine prolapse. The vaginal route has been shown to be the safest and most cost-effective for hysterectomy even in the absence of prolapse. Most women with a uterine prolapse are suitable for a vaginal hysterectomy with a few exceptions. Though usually safe the procedure should be undertaken by those with adequate training and expertise in pelvic floor surgery. When offering women a vaginal hysterectomy for pelvic organ prolapse the non-surgical as well as the surgical alternatives should be discussed and where facilities for performing these are not available the patient should be given the option of referral to another unit able to offer these.

Keywords

Vaginal hysterectomy Pelvic organ prolapse McCalls Culdoplasty Uterine prolapse Apical prolapse 

References

  1. 1.
    Fialkow MF, Newton KM, Lentz GM, Weiss NS. Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(3):437–40.CrossRefPubMedGoogle Scholar
  2. 2.
    Jha S, Cutner A, Moran P. The UK National Prolapse Survey: 10 years on. Int Urogynecol J. 2017.Google Scholar
  3. 3.
    Aarts JW, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;8:CD003677.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyJessop Wing, Sheffield Teaching Hospitals NHS TrustSheffieldUK
  2. 2.King’s College HospitalLondonUK

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