Some women with prolapse require a hysterectomy (removal of the uterus) as part of their prolapse surgery. Usually this is only required if there is a moderate or marked prolapse of the uterus and/or recurrent prolapse. A hysterectomy can be performed by laparoscopic or robotic surgery (“key-hole” surgery) or through the vagina (“vaginal hysterectomy”). The ovaries are not usually removed during hysterectomy for prolapse unless there is a specific reason (e.g. family history of ovarian cancer). Hysterectomy can be combined with prolapse surgery if prolapse is the main indication for surgery.

The illustration below demonstrates a total hysterectomy performed performed by laparoscopic or robot-assisted surgery.

The illustrations above demonstrate a closure of the vaginal vault with sutures after the hysterectomy is performed, and sacral colpopexy that suspends the vaginal vault from the sacrum using a graft taken from the thigh (fascia lata).

Dr Carey will be happy to answer any questions you may have and can give more specific advice. Before deciding to have surgery, you should read carefully all the information about your operation and consider obtaining a second opinion.

If you experience complications after you leave hospital, contact Dr Carey or the nursing staff on 1 West at the Epworth Freemasons Hospital for advice. In an emergency you may attend the Royal Women’s Hospital, Parkville or Epworth Hospital, Richmond emergency department or attend your closest hospital emergency department.