(0)
0 Items £0.00

Vaginal Hysterectomy

10 posts / 0 new
Last post
Madamex
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

April '19 - Smear

May '19 - Abnormal result with possible invasive disease

June '19 - Colposcopy, 3 biopsies taken

June '19 - Lletz under GA

August '19 - Staged 1A1

Sep '19 - Second Lletz under GA

Oct '19 - Clear for 1A1 but still CIN3

Oct '19 - MRI

Nov '19 - MRI Clear, offered Total Laparoscopic Hyst conserving ovaries or follow up Smear

March '20 - Smear

April '20 - HPV + with Low Grade Dyskaryosis, waiting for another colposcopy.

June '2 - Colposcopy Appointment

haylesd

Hi 

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.

All clear - vault smear due in 6 months

May 2020 - Vault smear shows HPV positive, cytology clear but booked for another Colposcopy

Lotty9000

Hi 

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.

xxxx

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

1st May 2019 - Colposcopy with LLETZ

9th May 2019 - diagnosis ?1B Villoglandular adenocarcinoma and high grade CGIN;

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:-)

10/3/20 1st follow up including vault smear. Biopsy of presumed granulation tissue.....awaiting results again!

meraud

Hi

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.

xx

  • 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
Pattie

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.

GAB

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

11/18/19 Results All Clear
Tivoli
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 :-)
Tivoli

Madamex

Hi all, 

Thank you so much for all your replies.

Update is I had an abdominal and pelvic MRI with dye and the result was clear. No a1a was found in my second loop tissue sample.

I was offered the option of a total laporoscopic hysterectomy or a follow up smear. I went to discuss this with my consultant and explained that I needed a break; I have had a tough few years, and he was happy to book me in for a smear/colposcopy which I will have on Tuesday.

I asked him about the vaginal hyst and I can't have it done that way as I havent had any children so there is no prolapse.

So the upshot is, its coloposcopy time on tuesday yay (said no woman ever), I know I will still be in the CIN3 zone so I know the hyst is coming.

I'm terrified tbh. I have asked to keep my ovaries as I dont want the menopause quite yet although I am 46.

Can I ask fellow lap hyst ladies... stitches or staples.. this is really bothering me!! stupid I know.

Thank you again for your replies. It means so much.

Love to you all

M

 

 

April '19 - Smear

May '19 - Abnormal result with possible invasive disease

June '19 - Colposcopy, 3 biopsies taken

June '19 - Lletz under GA

August '19 - Staged 1A1

Sep '19 - Second Lletz under GA

Oct '19 - Clear for 1A1 but still CIN3

Oct '19 - MRI

Nov '19 - MRI Clear, offered Total Laparoscopic Hyst conserving ovaries or follow up Smear

March '20 - Smear

April '20 - HPV + with Low Grade Dyskaryosis, waiting for another colposcopy.

June '2 - Colposcopy Appointment

Lotty9000

Hi, 

I'm I had 4 small incisions, 2 on my left side, 1 on my right and 1 in my belly button. These had internal stitches, so nothing really visible. I'm just over 6 months post op and they are disappearing rapidly!

xxxx

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

1st May 2019 - Colposcopy with LLETZ

9th May 2019 - diagnosis ?1B Villoglandular adenocarcinoma and high grade CGIN;

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:-)

10/3/20 1st follow up including vault smear. Biopsy of presumed granulation tissue.....awaiting results again!

meraud

Hiya

I had stitches. I had 6 incisions (dont know why they did so many!) and they are tiny. You wouldnt notice them unless I pointed them out to you and then you'd have to look really hard to see them. I'm sad as I was hoping for something a bit more dramatic to show for my ordeal, haha. My stomach is back to how it was before, and i can wear a bikini.

xx

 

  • 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
Madamex

Hi there, 

Thank you for your replies. So reassuring and helpful.

I am currently waiting for my smear results again.

Wish I'd just had the bloody thing done last year now.

The clear MRI and the option of a follow up smear was the better option for me at the time but now I wish I'd just had it done.

Anyway!

Thank you again for replying.

Lots of love to you all

Mxx

April '19 - Smear

May '19 - Abnormal result with possible invasive disease

June '19 - Colposcopy, 3 biopsies taken

June '19 - Lletz under GA

August '19 - Staged 1A1

Sep '19 - Second Lletz under GA

Oct '19 - Clear for 1A1 but still CIN3

Oct '19 - MRI

Nov '19 - MRI Clear, offered Total Laparoscopic Hyst conserving ovaries or follow up Smear

March '20 - Smear

April '20 - HPV + with Low Grade Dyskaryosis, waiting for another colposcopy.

June '2 - Colposcopy Appointment

More Information

Treatments for cervical cancer