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Vaginal Hysterectomy

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Vaginal Hysterectomy

Hi all,

I’m hoping someone can answer my question.
I have had two lletz procedures done following a diagnosis of a1a after the first one.
Both under a ga.
Long story short I now have to have a hysterectomy, doc has advised laparoscopic but i requested vaginal and have been told that’s not possible.
Can anyone tell me of any reason why I wouldn’t be able to have a vaginal hysterectomy instead?
Has this happened to anyone else?

Any advice would be greatly appreciated.

M xx



Firstly Im sorry to hear your diagnosis. I had my laproscopic hysterectomy on Tuesday and recovery is good so far. Can I ask why you have asked for the vaginal. Vaginal can cause more risks and also give you a longer recovery time. Go for the lap of possible. X


  • 5th June 19 - smear
  • 15th July - High grade dyskaryosis/?invasive carcinoma 
  • 23rd July - colposcopy, LLETZ biopsy taken
  • 6th September - Met the consultant to discuss results. Stage 1A2 confirmed, unclear margins on biopsy. Unable to perform 2nd LLETZ due to alot of cervix being taken away on previous biopsy.
  • Hysterectomy booked for 15th October
  • Pre-op done 11th October, all good to go for next week!
Total Hysterectomy completed with ovarian conservation. Waiting for pathology report.


I don’t know what the medical reasons for not being able to perform a vaginal hysterectomy however I suspect it will be something to do with malignancy.

I had a laparoscopic hysterectomy 7 weeks ago for stage 1A adenocarcinoma and my recovery has been good.


11th March 2019- 1st ever abnormal smear. (Never missed a smear)

1st May 2019 - Colposcopy with LLETZ

9th May 2019 - diagnosis ?1B Villoglandular adenocarcinoma 

22nd and 23rd May 2019 - MRI/CT

29th May - MDT meeting. MRI/CT clear. Amount of tumour 1A stage.

13th June 2nd LLETZ with top hat procedure 

3rd July Confirmed staging 1A1, clear margins on 2nd LLETZ. Scheduled for laparoscopic hysterectomy, keeping ovaries.

29/8/19 Total Laproscopic hysterectomy with ovarian conservation.

26/9/19 pathology confirms NED:-)



Are you having a radical hysterectomy? I dont think they can perform a radical hysterectomy vaginally because they remove more tissue than a normal hysterectomy and I think they possibly stitch the top of the vagina from inside? - so maybe need access from that side.

That's my understanding anyway, but I may be wrong.


I'm 7 months on from laparoscopic hysterectomy and im fit and healthy if that's any consolation.


  • 09/08/18. Positive smear - High grade (severe) dyskaryosis
  • 22/08/18. Colposcopy - CIN3
  • 14/09/18. Lletz - CIN3 with unclear margins
  • 07/12/18 Lletz  - CIN3 with unclear margins and VAIN3 
  • 14/01/19 MRI 
  • 29/01/19 PET-CT 
  • 15/02/19 scans indicate 2cm tumour
  • 26/02/19 RH (postponed due to virus)
  • 05/03/19 RH
  • 08/04/19 No evidence of malignancy

I asked about the vaginal hysterectomy and the doctor said he can't see anything with that procedure, it is more difficult for this reason. I was very happy with the laparoscopic the recovery is so fast, I was walking up and down my street the next day to stretch my legs. I felt almost 100% well on day three. I had my surgery 6 days ago, I feel great. I am glad I trusted my doctor, he is great.


2019-04-24 (ASC-US)

05/16/2109 Suspicious for AIS 

Pap test and tissue do not correlate

Additional sampling neccessary

6/4/2019 (no cancer or precancer) No hyperplasia No atypia No positivity and no squamous epithelium 

 9/4/2019 Adenocarcinoma in situ non invasive 

Hysterectomy kept ovaries 10/17/19

Tivoli's picture

Hi :-)

I'm no expert on this but I would imagine that vaginal hysterectomies are performed only in cases which do not involve cancer. I suspect it is incredibly difficult for the surgeon to see what is going on and what needs to be removed.

Be lucky :-)

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