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All you need to know about Radical Hysterectomy: Procedure, side effects & costs

Team AckoNov 9, 2022

Even though a Radical Hysterectomy is quite common in the country (Andhra Pradesh tops with 8.9% of total cases per the fourth National Family Health Survey), many women and their families are unaware of what to expect before or after the procedure. Along with physical changes, it can also give rise to a certain sense of loss and other emotional issues. One can address these with timely and adequate medical help. In this article, we have shed light on all you need to know about Radical Hysterectomy, the procedure, side effects & costs. Take a look.

Radical Hysterectomy

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What is a Radical Hysterectomy?

Radical Hysterectomy is a type of surgery that helps treat many gynaecological cancers, such as cervical and ovarian cancer. A surgeon performs this procedure to remove the parametrium, the uterus, the cervix, and a portion of the vagina (the connective tissue surrounding the cervix). The fallopian tubes, lymph nodes surrounding, and ovaries can all be removed if necessary.

A Radical Hysterectomy usually has no effect on a patient's sexual ability, although it does prevent a woman from getting pregnant. Thus, before selecting a course of therapy, a patient is advised to thoroughly assess all of her available options with a gynaecological oncologist (a doctor that specialises in the field of cancers of the female reproductive organs). There are various fertility-preserving alternatives to a Radical Hysterectomy. The best course of action can differ from patient to patient and will rely on a woman's age, medical history, and preferences. It can also depend on her precise diagnosis.

Types of Radical Hysterectomy procedures

The two primary types of Radical Hysterectomy procedures are as follows.

1. Abdominal Radical Hysterectomy

After a general examination under anaesthesia, the abdomen is opened with a low transverse or vertical abdominal incision. The operation is thoroughly examined in the abdominal and pelvic area to see if there was any sign of cancer. Then the uterus and surrounding organs are removed.

2. Minimally invasive radical hysterectomy

According to research studies on patients with early-stage cervical cancer, minimally invasive or Laparoscopic radical hysterectomy has certain medical advantages. It has been linked to reduced blood loss, a shorter hospital stay, and a lower risk of post-operative problems as compared to abdominal Radical Hysterectomy.

Your doctor may recommend a Radical Hysterectomy if you have any of the following medical issues.

  • Cancer: If you have cancer (or pre-cancer) in the endometrium, ovary, uterus, or cervix, a Radical Hysterectomy might be your best option. Chemotherapy and radiation are potential additional treatment choices. Your doctor will discuss the sort of cancer you have and its stage with you. 

  • Endometriosis: Endometriosis develops when the tissue that borders the uterus spreads to the ovaries. This is not normal. Significant discomfort and bleeding between periods may result from this condition.

  • Uterine fibroids : Non-cancerous growths in the uterine wall are known as uterine fibroids. They can cause pain or significant bleeding in some women.

  • Uterine prolapse : This is when the uterus drops into the vagina from its usual position. It can occur after menopause or as a result of obesity, but it is more prevalent in women who have had several vaginal births. Prolapse can cause pelvic pressure and bowel and urine issues.

  • Severe bleeding :An infection, cancer, fibroids, or changes in hormone levels can all result in significant, prolonged bleeding.

  • Adenomyosis : This disorder causes the uterine lining tissue to develop abnormally inside the uterine walls. The uterine walls thicken, resulting in acute discomfort and excessive bleeding.

Risks associated with a Radical Hysterectomy

The following risks are associated with Radical Hysterectomy.

  • Severe bleeding

  • Reaction to anaesthesia

  • Pain during sexual intercourse

  • Early menopause

  • Infection

  • Accidental injury to other organs during the surgery

  • Loss of bladder control

  • Blood clots

Things to remember after undergoing a Radical Hysterectomy

After your procedure, you'll need to remain in the hospital for 1 to 3 days. When you are released, your doctor will give you specific instructions for better recovery. For example:

  1. Following a Radical Hysterectomy, plenty of rest is essential for the first several weeks.

  2. Walking around the house will help to stop blood clots from forming.

  3. Avoid lifting heavy objects.

  4. Take the prescribed medicines as per schedule.

  5. Avoid intercourse for at least six weeks after the procedure.

  6. Do not miss your follow-up appointments.

How much does a Radical Hysterectomy cost in India?

The following table lists the approximate cost of undergoing a Radical Hysterectomy in India.

City Approximate cost in rupees*
Ghaziabad 40,000
Jaipur 55,000
Lucknow 65,000
Ahmedabad 70,000
Pune 95,000
New Delhi 1,04,100
Bengaluru 1,16,000
Kolkata 1,20,000
Hyderabad 1,30,000
Chennai 1,50,000
Mumbai 1,50,000

*The costs are subject to change.

Frequently asked questions

Here are some common questions you may have if you are considering a Radical Hysterectomy or if you have undergone this procedure.

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What happens to the internal organs after a Radical Hysterectomy?

After a Hysterectomy, the remaining abdominal and pelvic organs will move slightly to fill the space. Along with other concerns, this change may result in the loss of bladder control. You can avoid these issues by maintaining strong pelvic floor muscles with the help of Kegel exercises.

Will my ovaries be removed by the surgeon when I get a Hysterectomy?

After discussing the pros and cons with your doctor, you can decide whether to keep or remove your ovaries. The choice may also be influenced by the underlying medical condition leading to a Radical Hysterectomy.

What happens to the cervix after a Radical Hysterectomy?

The cervix (upper end of the vaginal canal) is closed with the help of stitches after a Radical Hysterectomy.

Will a Hysterectomy affect my sex life?

A Hysterectomy may not affect your sex life severely. In fact, as a Hysterectomy reduces discomfort or severe vaginal bleeding, many women report improved sex life following the procedure. However, it may take time for things to return to normal.

What distinguishes a Drastic Hysterectomy from a Basic Hysterectomy?

In a Basic Hysterectomy, only the uterus is removed. On the other hand, a Radical Hysterectomy involves the removal of the uterus along some tissue from the cervix. The uterus is removed through a lower abdomen incision that resembles one used during a C-section. Radical Hysterectomies are frequently used in treating cancer.

What are the positive aspects of a Radical Hysterectomy?

After a Hysterectomy, positive physical and psychological effects are frequently felt in a short amount of time. If you had cramps, heavy bleeding, or persistent discomfort before surgery, you'd probably notice a slow improvement in these symptoms within a few weeks. Your sexual life can resume pretty much as it did before once your body has healed. You won't have to worry about birth control, and you won't ever have to track your periods again.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on several secondary sources on the internet. Please consult a doctor before making any health-related decisions.

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