Supracervical hysterectomy

Supracervical Hysterectomy is a surgical procedure that involves the removal of the uterus while leaving the cervix intact. This procedure is also known as a partial or subtotal hysterectomy. It is one of the types of hysterectomy procedures, which also include total and radical hysterectomy.

Indications

Supracervical hysterectomy is typically indicated for conditions such as uterine fibroids, endometriosis, uterine prolapse, and abnormal uterine bleeding. The decision to perform a supracervical hysterectomy over other types of hysterectomy procedures is often based on the patient's medical history, the specific condition being treated, and the surgeon's expertise.

Procedure

During a supracervical hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes, and upper part of the cervix, but leaves the lower part of the cervix in place. The procedure can be performed through an incision in the abdomen (abdominal supracervical hysterectomy) or vaginally (vaginal supracervical hysterectomy). It can also be performed laparoscopically, using a camera and small incisions (laparoscopic supracervical hysterectomy).

Advantages and Disadvantages

The main advantage of a supracervical hysterectomy is that it preserves the cervix, which some believe may have benefits for sexual function and pelvic floor support. However, this is a topic of ongoing debate in the medical community.

The main disadvantage is that it leaves the woman at risk for cervical cancer, so regular Pap smear screenings are still necessary. Additionally, some women may continue to experience cyclical bleeding after the procedure, known as "cervical stump syndrome".

Recovery

Recovery from a supracervical hysterectomy is typically quicker than from a total hysterectomy, with less pain and a lower risk of complications. However, the exact recovery time can vary depending on the individual and the specific surgical approach used.

See Also

• Hysterectomy
• Uterine fibroids
• Endometriosis
• Uterine prolapse
• Abnormal uterine bleeding