Hysterectomy is removal of the uterus. In most cases, this surgery takes about 1 to 3 hours. Knowing what to expect before and after surgery can help reduce any fears you may have. It also helps you prepare. Be sure to follow any instructions your health care provider gives you.
A few weeks before surgery, you may be asked to:
Stop smoking, if you smoke.
Donate your own blood. This is in case you need to receive blood (a transfusion) during surgery. Doing this is not very common. Most hysterectomies, especially if done for benign reasons, don't require patients to donate their own blood.
As the day of surgery grows closer, you may be asked to:
Have blood, urine, and other tests.
Stop taking certain medicines.
Sign a consent form for the surgery.
Stop eating and drinking after midnight the night before surgery
Before the surgery begins, you’ll be given an intravenous (IV) line in your arm or hand. This line is used to provide fluids and medicines.
Just before surgery, you will be given anesthesia. This is medicine that keeps you from feeling pain. You will likely receive general anesthesia. This puts you into a state like deep sleep during the surgery.
During the surgery:
A tube may be put into your bladder. This drains urine.
A hysterectomy can be done in several ways. In some cases, an incision is made in your abdomen, and your uterus is removed through this incision. The uterus can also be removed through the vagina or laparoscopically through small incisions on the stomach.
The incision is closed with sutures, staples, or surgical glue.
After the surgery, you’ll be brought to a recovery room. There, you will wake up from the anesthesia. Then you’ll be moved to a hospital room.
You may spend up to a few days in the hospital. Here is what you can expect during this time:
You will be given medicine for pain. Tell your nurse if you feel pain.
The tube in your bladder will likely be taken out a day or 2 after surgery.
You will have some bleeding from your vagina. Use sanitary pads.
You may be given only liquids or light meals. This is to give your bowels time to return to normal.
You will be shown exercises to clear your lungs. Do these as often as you’re instructed.
You will be told when you’re ready to go home. Have an adult family member or friend drive you.
Follow all instructions you’re given for taking care of yourself at home. These tips can help you heal:
Take showers instead of baths.
Use pads to absorb bleeding or discharge. Light bleeding is likely at first. Brownish discharge may last up to 6 weeks.
Do not use tampons. Do not douche. These can cause infection.
Do not have sex for as long as your health care provider suggests (most likely 6 to 8 weeks).
Pain medicines can cause constipation. Eat fruits, vegetables, and whole-grain foods. Drink plenty of water. If you have problems moving your bowels, ask your health care provider whether you should use a stool softener.
Tell your health care provider if you feel down or have mood swings. You may be adjusting to the changes in your body. This is especially likely if your ovaries were removed and you hadn’t yet reached menopause. Medicine can be prescribed to help.
Avoid movement that strains your incision, like heavy lifting.
Ask your health care provider when you can drive again. Also ask when you can return to work and exercise.
It will likely take 3 to 8 weeks to feel back to normal.
Contact your health care provider right away if you have any of the following:
Fever of 100.4°F (38°C) or higher
Heavy vaginal bleeding
Smelly discharge from the vagina
Bleeding, discharge, or increasing redness or swelling at the incision site
Pain or swelling in your legs
Shortness of breath or chest pain
Severe abdominal or pelvic pain
Painful or frequent urination
Make and keep follow-up visits. These make sure you’re healing well. Your incision closures may be removed during a follow-up visit:
If your ovaries were removed and you’re having symptoms of menopause, tell your health care provider. You might want to discuss hormone therapy.
If you had cancer, ask your health care provider about any further treatment you may need.