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Definition

By Mayo Clinic staff

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Illustration showing female reproductive organs 
Female reproductive system

Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina.

Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen. However, if your uterus is enlarged, vaginal hysterectomy may not be possible.

Hysterectomy often includes removal of the cervix as well as the uterus. When the surgeon also removes one or both ovaries and fallopian tubes, it's called a total hysterectomy with salpingo-oophorectomy (sal-ping-go-o-of-uh-REK-tuh-me). Located in your pelvis, all these organs are part of your reproductive system.

References
  1. About hysterectomy: Surgical removal of the uterus, or womb. American College of Surgeons. http://www.facs.org/public_info/operation/brochures/hysterectomy.pdf. Accessed Nov. 6, 2012.
  2. Falcone T. Overview of hysterectomy. http://www.uptodate.com/index. Accessed Nov. 6, 2012.
  3. Hysterectomy fact sheet. U.S. Department of Health and Human Services Office on Women's Health. http://womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.cfm. Accessed Nov. 6, 2012.
  4. Stovall TG, et al. Vaginal hysterectomy. http://www.uptodate.com/index. Accessed Nov. 6, 2012.
  5. Frequently asked questions. Special procedures FAQ008. Hysterectomy. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq008.pdf?dmc=1&ts=20121106T1337303494. Accessed Nov. 6, 2012.
  6. Muralidhar MM, et al. Vaginal hysterectomy for benign disease without prolapse. Clinical Obstetrics and Gynecology. 2010;53:5.
  7. Hoffman BL, et al. Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.com/resourceTOC.aspx?resourceID=768. Accessed Nov. 6, 2012.
  8. Lyons T. Laparoscopic approach to hysterectomy. http://www.uptodate.com/index. Accessed Nov. 6, 2012.
MY00099 Dec. 11, 2012

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