Robot assisted sub-hysterectomy and total hysterectomy

Some women with prolapse require a sub-hysterectomy (partial removal of the uterus) or total hysterectomy as part of their surgical treatment. Usually this is only required if there is a moderate or marked prolapse of the uterus. This surgery is performed with a sacral colpopexy procedure and can be carried out with robotic assistance.

If a hysterectomy is required Dr Carey usually recommends a subtotal hysterectomy in order to preserve the cervix and ovaries, and to avoid making an incision at the vaginal apex. Usually the ovaries and fallopian tubes are not removed during hysterectomy for prolapse. The ovaries and fallopian tubes will be removed during the hysterectomy only if there is a specific reason (e.g. a family history of ovarian cancer).

The illustration below demonstrates the three types of robotic sacral colpopexy used in association with hysterectomy. a.) the sacral colpopexy has been performed on a patient who has undergone a prior hysterectomy. b.) the sacral colpopexy has been performed in a patient who has undergone a total hysterectomy during surgery. c.) the patient has undergone a sacral colpopexy along with a subtotal hysterectomy.

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.