Vaginal Methods for Hysterectomy

Total Vaginal Hysterectomy (TVH)

The uterus and cervix are removed through an incision deep within the vagina. This method can be used when the uterus is not too enlarged or when surgical repair of pelvic organ prolapse is done at the same time such as with repair of the bladder or for surgical treatment of urinary incontinence.

This surgery is performed under general, spinal or epidural anesthesia and requires a hospital stay of 1-3 days and a recovery period of 14-21 days. However, when the cervix is removed, approximately 6 weeks is needed for healing of the vaginal incision. Intercourse can be resumed following complete healing of the vagina. This method offers the lack of visible scarring.

Laparoscopic Assisted Vaginal Hysterectomy (LAVH)

This technique is similar to the total vaginal hysterectomy but requires additional surgical skills and instruments. A laparoscope is used to facillitate removal of the uterus and cervix through the vagina.  This surgery is usually performed under general anesthesia and hospital stay and recovery time is similar to the vaginal hysterectomy.