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Vaginal hysterectomy (uterus removal) surgery

You may need a vaginal hysterectomy (uterus removal) surgery if you have heavy periods, fibroids or uterine prolapse. Book online today.

What is a hysterectomy?

A hysterectomy is an operation to remove the uterus. It is possible to remove the ovaries if you have a vaginal hysterectomy but they will more than likely be left alone (see figure 1).

The common reasons for having a vaginal hysterectomy include uterine prolapse, heavy periods and fibroids.

What are the benefits of this surgery?

A hysterectomy may cure or improve your symptoms. You will no longer have periods.

Are there any alternatives to surgery?

Symptoms of a uterine prolapse may be improved by doing pelvic floor exercises.

Heavy periods can be treated using oral medications, a hormonal coil in the uterus, or by removing only the lining of the womb.

Depending on the size and position of fibroids, medication can be taken to try to control the symptoms. Other treatments include surgery to remove the fibroids only or uterine artery embolisation to reduce the blood flow to the fibroids.

What does the operation involve?

A vaginal hysterectomy is usually performed under a general anaesthetic. The operation usually takes about three-quarters of an hour.

Your gynaecologist will make a cut around the cervix at the top of the vagina so they can remove your womb and cervix.

Usually they will stitch the support ligaments of your womb to the top of your vagina to reduce the risk of a future prolapse.

What complications can happen?

General complications of any operation:

  • Pain
  • Sickness or feeling sick
  • Bleeding
  • Infection
  • Blood clots

Specific complications of this operation:

  • Damage to internal organs
  • Conversion to an abdominal hysterectomy
  • Developing a haematoma
  • Long-term problems
  • Prolapse
  • Continued pain
  • Adhesions
  • Menopause, even if your ovaries are not removed

How soon will I recover?

You will be able to go home after one to four days.

For the first two weeks at home you should rest and continue to do the exercises that you were shown in hospital. You can usually go back to work after six to eight weeks.

After three months you should be feeling more or less back to normal.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice.


A hysterectomy is a major operation usually recommended after simpler treatments have failed.

Paying for your operation

Vaginal hysterectomy costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.


Author: Mr Jeremy Hawe MBChB MRCOG Illustrations: LifeART image copyright 2007 Lippincott Williams & Wilkins. All rights reserved. This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

Copyright © 2008 EIDO Healthcare Limited The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by BMI Healthcare. The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace advice that your relevant health professional would give you.

Specialists offering Vaginal hysterectomy (uterus removal) surgery

Miss Moneli Golara

Consultant Gynaecologist & Obstetrician


BMI The Cavell Hospital 2 more BMI Hendon Hospital BMI The Kings Oak Hospital

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Mr Nilesh Agarwal

Consultant Obstetrician & Gynaecologist

FICOG, Diploma of Laparoscopy, MRCOG, RCOG

BMI The Clementine Churchill Hospital

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Mrs Sarah Reynolds

Consultant Gynaecologist & Obstetricians


BMI The Manor Hospital

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Mrs Vanitha Selva Kumar

Consultant Colposcopist/Gynaeoncologist

MBBS,MRCOG, DFFP, BSCCP, PG Diplomate in Robotics and Minimal Access Surgery

BMI The Hampshire Clinic

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Miss May Wahab

Consultant Gynaecologist & Obstetrician


BMI The Meriden Hospital

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Mrs Manjula Raajkumar

Consultant Obstetrician & Gynaecologist

MBBS, FRCOG, PG Certificate in Medical Ultrasound

BMI The London Independent Hospital

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