Total vs Partial Hysterectomy

A hysterectomy is a surgical procedure that involves the removal of a woman’s uterus. There are two types of hysterectomies: total vs partial hysterectomy. In this blog, we will discuss the differences in total vs partial hysterectomy and what women can expect from total vs partial hysterectomy procedures.

Total HysterectomyDoctor pointing to a diagram of a uterus, total vs partial hysterectomy

A total hysterectomy involves the removal of the entire uterus, including the cervix. In some cases, the ovaries and fallopian tubes may also be removed, a procedure called a bilateral salpingo-oophorectomy. This can be performed through a variety of methods, including:

  • Abdominal: The uterus is removed through an incision in the abdomen.
  • Vaginal: The uterus is removed through the vagina.
  • Laparoscopic: The uterus is removed using small incisions and a laparoscope, which is a thin, flexible tube with a camera on the end.

Partial Hysterectomy

A partial hysterectomy involves the removal of only the upper part of the uterus, leaving the cervix intact. The ovaries and fallopian tubes may also be removed if necessary. This procedure is also known as a supracervical hysterectomy. This can be performed through the same methods as a total hysterectomy.

Reasons For Undergoing This Procedure

There are several reasons why a woman may need to get a hysterectomy, including:

  • Uterine fibroids: These are noncancerous growths that develop in the uterus and can cause heavy bleeding, pelvic pain and pressure on the bladder and bowel.
  • Endometriosis: This is a condition where the tissue that lines the uterus grows outside of it, causing pain and sometimes infertility.
  • Pelvic organ prolapse: This is a condition where the pelvic organs, including the uterus, bladder and rectum, sag or droop into the vagina, causing discomfort and sometimes difficulty with bowel or bladder function.
  • Gynecological cancer: In some cases, a hysterectomy may be necessary to remove cancerous tissue from the uterus or other reproductive organs.

Things to Consider In Total vs Partial Hysterectomy

The decision to undergo a total vs partial hysterectomy is dependent on several factors, including the reason for the surgery, the woman’s age and her medical history. In general, a partial hysterectomy may be a good option for women who want to preserve their cervix, as it may help maintain sexual function and prevent urinary incontinence. However, a total hysterectomy may be necessary in cases where there is a risk of gynecological cancer or other medical conditions. Talk to our healthcare providers to determine if a total vs partial hysterectomy is best for you.

Recovery After a Hysterectomy

In general, women can expect to spend a few days in the hospital and may require several weeks of recovery time before returning to normal activities. Some women may experience side effects such as vaginal dryness, hot flashes and mood changes, particularly if the ovaries were removed during the procedure.

Speak with our healthcare providers at Women’s Health of Central Virginia to discuss the risks, benefits and alternatives of total vs partial hysterectomy procedures before making a decision.