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A vaginal hysterectomy is surgery to remove the uterus through the vagina. The uterus is the muscular organ at the top of the vagina. Babies develop in the uterus, and menstrual blood comes from the uterus. A bilateral salpingo oophorectomy is a surgery to remove both ovaries and both fallopian tubes.

In a vaginal hysterectomy and a bilateral salpingo oophorectomy assisted with laparoscopy, the doctor uses a tool called a laparoscope to help with the removal. A laparoscope is a thin tube with a light and tiny camera.

When is it used?

There are many reasons why you and your health care provider may decide to take out your uterus. Some of the problems that may be treated with a vaginal hysterectomy are:

  • Tumors in the uterus.
  • Constant heavy bleeding that has not been controlled by medicine or dilation and curettage (D&C).
  • Endometriosis that causes pain or bleeding and does not respond to other treatments.
  • Chronic pelvic pain.
  • A fallen (sagging) uterus.
  • Precancerous or cancerous cells or tissue on the cervix.

What are the benefits of this procedure?

A hysterectomy takes care of problems you may have been having with your uterus. For example, it removes any tumors that may have been in your uterus and it stops menstrual periods. Also, with this procedure, there will be only small punctures in your abdomen from the laparoscope. This means you will probably have less pain and discomfort after this operation than if your uterus were removed through a cut in your abdomen. Recovery is usually faster from a vaginal hysterectomy than from an abdominal procedure. You may be able to leave the hospital sooner. The vaginal procedure does not leave a visible scar.

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