Gynecologic Surgery, Procedure

Hysterectomy Treatment

Hysterectomy is a surgical procedure that refers to the removal of the uterus.  A hysterectomy is used to treat many different conditions that can affect a woman in her lifetime. Many of these conditions can be treated without surgery or a hysterectomy and should be considered first, especially in a woman who wants to preserve her fertility since pregnancy is not possible after a hysterectomy treatment. Conditions for which a hysterectomy treatment is performed may include:

  • Uterine fibroids
  • Adenomysosis
  • Endometriosis
  • Abnormal uterine bleeding
  • Uterine prolapse
  • Chronic pelvic pain
  • Gynecologic cancer
  • Types of Hysterectomy

There are different types of hysterectomy treatments, referring to what other organs are removed along with the uterus. The different types include:

  1. SUPRACERVICAL HYSTERECTOMY

Removal of the portion of the uterus above the cervix. Also referred to as “subtotal” or “partial” hysterectomy.

  1. TOTAL HYSTERECTOMY

Removal of the uterus and the cervix. This does NOT include removal of the ovaries. Many people are mistaken that a “total hysterectomy” includes the removal of the ovaries and fallopian tubes, which leads to immediate menopause.

  1. HYSTERECTOMY AND BILATERAL SALPINGO-OOPHORECTOMY

Removal of the uterus, cervix, ovaries and fallopian tubes.  Sometimes only the fallopian tubes are removed, or only one ovary and fallopian tube are removed.

Methods of Hysterectomy

There are different ways a hysterectomy can be performed. The different methods include:

  • Abdominal – surgery is performed through a large incision made on the abdomen, similar to a Cesarean section.
  • Laparoscopic or Robotic – surgery is performed through a few small (5-10mm) incisions on the abdomen.
  • Vaginal – surgery is performed through the vaginal opening, without making any incisions on the abdomen.

If you have any questions about hysterectomy treatments or would like to schedule an appointment with Dr. DeNoble, please contact the office at 201-957-7220 today.

Adenomyosis - Shaghayegh M. DeNoble, MD, FACOG, Advanced Gynecology and Laparoscopy of North Jersey