Hysterectomy is the surgical removal of a woman’s uterus (or her womb). This procedure is performed as treatment for several chronic pain conditions, cancer, or some serious infections.
Many women seek affordable hysterectomy abroad because even with insurance uterus removal can be very expensive in some parts of the world, yet in other parts, highly experienced gynecologists are able to perform it for a fraction of the price.
Hysterectomy is generally performed under general anesthesia – so you will be completely asleep when the surgery is performed.
Uterus removal surgery can be performed in the following three ways:
- Vaginal hysterectomy – Surgery is performed with instruments inserted through a small incision made on the top of the vagina. The incision will be stitched back up after the uterus and cervix are removed.
Vaginal hysterectomy may be performed under general or local anesthesia.
Vaginal hysterectomy is usually preferred because it is less invasive and allows for quicker recovery and a relatively shorter duration of hospital stay.
- Abdominal hysterectomy – Uterus is removed via an incision made in your tummy. The incision could be horizontal along your bikini line or vertical from your belly button to your bikini line.
Abdominal hysterectomy is performed under general anesthesia. It is usually recommended if there are fibroids or pelvic tumors, which cannot be removed through your vagina.
It is also performed in cases where the ovaries are to be removed along with the uterus and cervix.
- Laparoscopic hysterectomy – Small keyhole incisions are made in your abdomen, through which a camera and surgical instruments are inserted to perform the surgery. The incisions in laparoscopic surgery are smaller than those in conventional abdominal surgery and most patients prefer it for easier recovery.
Depending upon your reason for requiring uterus removal, your doctor may advise:
- Total hysterectomy: Your cervix (neck of the womb) is removed along with the womb
- Sub-total hysterectomy: Only the uterus is removed, leaning the cervix intact
- Total hysterectomy with bilateral salpingo-oophorectomy: Uterus, cervix, fallopian tubes, and ovaries are all removed
- Radical hysterectomy: Womb, cervix, fallopian tubes, ovaries are removed along with the lymph glands and surrounding fatty tissue. This is usually performed in cases of cancer.
Once you contact your chosen hospital/doctor for affordable hysterectomy, the doctor will recommend on the kind and method of hysterectomy required in your case, and its associated cost
Once decided, the first question any woman would ask is “how much does hysterectomy cost?”
Uterus removal costs vary from place to place. For low-cost hysterectomy you can consider:
Hysterectomy in Thailand – cost starts from 2,600
Hysterectomy in Malaysia – cost starts from 4,600
Hysterectomy in India – cost starts from 2,600
Uterus removal may be recommended if you have:
- Excessive, uncontrollable vaginal bleeding
- Uterine or cervical cancer
- Massive, problematic fibroids in the uterus
- Pelvic inflammatory disease & chronic pain
- Prolapse of the uterus – when it drops through the cervix and protrudes from the vagina
- Endometriosis – when the inner lining of the uterus grows outside of the uterine cavity, causing excessive pain
- Adenomyosis – growth of the uterine lining into the muscles of the uterus
According to the National Women’s Health Network, hysterectomies are the second most commonly performed surgeries on women in the United States.
Hysterectomy will result in many permanent changes in the life of a woman and doctors do not recommend it to everybody easily.
Alternative options like hormone therapy for endometriosis, myomectomy for fibroids, or sometime just regular pain management is effective in bringing the desired relief to the patient.
You must discuss all your options with your gynecologist before planning for a hysterectomy abroad.
Before you plan to travel for hysterectomy, you can do a few things to improve the prognosis:
- Eat well and exercise regularly
- Do not smoke or drink heavily a few weeks before the surgery
- Arrange for help at home because you will need a hand while you recover
- Try to lose some weight, if you are overweight
A day before the surgery
- Diagnostic tests—Pap smear, endometrial biopsy, pelvic ultrasound—will be done to check for cancer, which would determine the final approach to surgery.
- You would be required to see the doctor once before the surgery day and he will likely instruct you to have some medication to empty bowels to prepare for surgery.
- A vaginal cleanse is also performed to reduce the risk of any infection.
- An intravenous antibiotic medication is given just before the surgery to cut the risk of any post-operative infection.
The surgical scars after hysterectomy depend upon the surgery method. Vaginal hysterectomy leaves no scars, laparoscopic surgery will leave 3-4 small rounded scars on your abdomen, and abdominal hysterectomy will cause you to have a long scar along the incision line.
If you are concerned about the scars, discuss them with your surgeon in advance, so he made be able to make the incision more strategically.
You should plan around 3 weeks at your medical destination for hysterectomy, so there is enough time to recover and should you feel any pain or complications from the surgery, they can be immediately addressed.
I cannot stress enough the importance of recovery time after such major surgeries; do not rush to fly back home the same week after the surgery.
Hysterectomy recovery time:
|Uterus removal method
|Total laparoscopic hysterectomy (TLH)
|Laparoscopic supracervical hysterectomy(LSH)
|Laparoscopically Assisted Vaginal Hysterectomy (LAVH)
It is advisable to stay at the surgery destination for as long as you can during the recovery period, to avoid the risk of any complications. But if you must fly back soon, remember to take your fit-to-fly certificate from your surgeon before doing so.
If you are flying from say, Australia to Thailand for hysterectomy, you do not want any complications on the long flight back home. Plan around 15-20 days in your work schedule, if you plan to go abroad for uterus removal surgery.
As you recover the pain around the surgical site, you will start to notice the painful symptoms that necessitated uterus removal are now gone. The quality of your life will continue to improve hereon:
Other changed you should expect after hysterectomy are:
- No periods: With your uterus gone, you will never have periods again. You may also experience other menopausal symptoms if your ovaries were also removed in the process.
- Hormonal changes: Vaginal dryness or loss of interest in sex may happen after a hysterectomy due to hormonal changes caused especially by the loss of ovaries.
- Depression: Grief over the lost fertility and hormonal changes cause some women to go into a state of prolonged sadness. Don’t hesitate to seek help if you find yourself tilting towards gloominess.
- Other health problems: Bone loss, heart disease, and loss of bladder control are experienced by some women.
- Brownish – red vaginal discharge: Could be present up to 4 weeks
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Hysterectomy is a widely performed surgery, which is considered low-risk. However, as with any surgery, you should be aware of the associated risks and possible complications
- Excessive post-operative bleeding
- Bowel blockage
- Injury to other internal organs
- Adverse reaction to anesthesia
- Blood clots which can travel through the veins
- Which organs and structures will be removed?
- Will technique do you recommend – abdominal, vaginal or laparoscopic?
- How long should I expect to stay in the hospital afterwards?
- Will it cause menopause?
- If I plan to have children in the future, what alternatives to hysterectomy would you suggest at this time?
- Are there any non-surgical alternatives?
- How many days after the surgery would I be able to fly back home?
- Do I need to bring a companion? Will he/she be allowed to stay in the hospital with me?
- What are the chances of complications and what can I do to avoid them?
- What should I do to prepare for hysterectomy?
You can use our service to find the best hospitals for uterus removal.