Total Hysterectomy With Bilateral Salpingo-Oophorectomy

A total hysterectomy with bilateral salpingo-oophorectomy is a major gynecologic procedure that removes the uterus, cervix, fallopian tubes, and both ovaries. It is typically recommended for serious conditions such as gynecologic cancers, advanced endometriosis, ovarian cystic disease, or when there is a high hereditary cancer risk. Because the ovaries are removed, this procedure causes immediate menopause and permanently ends fertility, making education and preparation essential for every patient considering it.

Why Patients Choose This Procedure

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Despite its significance, this surgery is often the most effective way to relieve severe symptoms, stop disease progression, and prevent future complications—especially in cases of cancer or advanced endometriosis. Modern minimally invasive and robotic techniques allow many patients to experience less pain, reduced blood loss, shorter hospital stays, and a faster return to daily life. With expert surgeons like Dr. Singhal, the procedure is performed with precision and a strong focus on long-term quality of life.

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COMMON QUESTIONS ABOUT Total Hysterectomy with Bilateral Salpingo-Oophorectomy

Understanding Total Hysterectomy With Bilateral Salpingo-Oophorectomy

A total hysterectomy with bilateral salpingo-oophorectomy is a comprehensive surgical procedure performed on individuals, primarily women, to remove the uterus, cervix, fallopian tubes, and both ovaries. This surgery is often recommended to treat various gynecological conditions such as uterine fibroids, endometriosis, gynecological cancers, and severe pelvic inflammatory disease.

The removal of these reproductive organs results in permanent infertility and typically induces menopause if the ovaries are removed, as they are responsible for hormone production. While this procedure can alleviate symptoms and effectively treat underlying conditions, it also has profound implications for a person’s reproductive and hormonal health.

Common Reason for Total Hysterectomy with Bilateral Salpingo-Oophorectomy

One of the common reasons for a total hysterectomy with bilateral salpingo-oophorectomy is the treatment of gynecological cancers, such as ovarian cancer, cervical cancer, or endometrial cancer. This surgical procedure may be recommended when these cancers are detected at an advanced stage or have not responded to other treatments like chemotherapy or radiation therapy. Removing the uterus, cervix, fallopian tubes, and ovaries can be an effective way to eliminate cancerous tissue and prevent the spread of the disease to other parts of the body.

It is important to note that this procedure is not exclusively performed for cancer treatment. Total hysterectomy with bilateral salpingo-oophorectomy may also be recommended for other medical conditions such as severe endometriosis, uterine fibroids, and in cases where there is a significant risk of developing gynecological cancer in individuals with certain genetic mutations like BRCA1 or BRCA2. The decision to undergo this surgery is typically made after careful evaluation of the individual’s specific medical condition and their overall health.

What are the effects after Total Hysterectomy with Bilateral Salpingo-Oophorectomy?

After a total hysterectomy with bilateral salpingo-oophorectomy, your body undergoes significant changes, including permanent infertility and immediate menopause if both ovaries are removed, resulting in menopausal symptoms, cessation of menstrual periods, potential alterations in sexual function, and relief from gynecological conditions that necessitated the surgery.

There may also be a potential need for hormone replacement therapy to manage hormonal imbalances and menopausal symptoms, all of which require careful consideration and follow-up with a specialized healthcare provider, such as New York Gynecology Surgery (NYGS).

How Long Does a Total Hysterectomy with Bilateral Salpingo-Oophorectomy Take?

The duration of a total hysterectomy with bilateral salpingo-oophorectomy varies depending on factors such as the surgical approach and complexity of the case, but on average, it typically takes about 1 to 3 hours to complete.

Minimally invasive techniques, like laparoscopic or robotic-assisted procedures, tend to have shorter operating times than traditional open surgeries.

The surgeon’s experience and the patient’s overall health also play a role in determining the length of the surgery.

Dr. Pankaj Singhal is widely regarded and respected as a Master Surgeon in Robotic Surgeries, having performed over 10,000 robotic gynecologic, endometriosis, and cancer procedures, further emphasizing his expertise and proficiency in this field.

Laparoscopy in Total Hysterectomy with Bilateral Salpingo-Oophorectomy: A Minimally Invasive Surgical Approach

Laparoscopy, a minimally invasive surgical technique, has become a valuable approach in performing total hysterectomy with bilateral salpingo-oophorectomy. During this procedure, the surgeon makes small incisions in the abdominal wall through which specialized instruments and a laparoscope are inserted. The laparoscope is equipped with a camera that provides a magnified view of the pelvic and abdominal organs on a monitor, allowing for precise and controlled surgical maneuvers.

One of the primary benefits of laparoscopy in this context is its ability to minimize the invasiveness of the surgery. Compared to traditional open surgery, laparoscopy typically results in smaller incisions, reduced blood loss, and a lower risk of infection. Patients who undergo laparoscopic total hysterectomy with bilateral salpingo-oophorectomy often experience shorter hospital stays, faster recovery times, and less postoperative pain.

New York Gynecology Surgery & Endometriosis (NYGSE) Approach

Facing a Total Hysterectomy with Bilateral Salpingo-Oophorectomy can be a challenging and emotionally charged experience. At NYGSE, our commitment is to deliver personalized care that caters to your specific needs. Our team comprises experienced gynecologists and healthcare professionals who will stand by you throughout this journey, offering unwavering support, addressing your questions, and ensuring your comfort at every stage.

Your well-being remains our utmost priority, and we are dedicated to surpassing your expectations by providing top-quality care and individualized attention. If you or someone you care about is contemplating or has a scheduled Total Hysterectomy with Bilateral Salpingo-Oophorectomy or has any concerns related to this procedure, please do not hesitate to contact us.

We are here to offer guidance and assistance as you navigate this crucial decision-making process and embark on your treatment path.

Types of Gynecologic Cancer

Fallopian tube cancer

Pankaj Singhal, MD, MS, MHCM

With over 12 years of experience in both academic and private healthcare, Dr. Singhal has trained more than 45 gynecologic surgeons and fellows in minimally invasive and oncologic procedures. He has pioneered new surgical techniques for endometriosis and laparoscopic surgery, completing more than 5,700 robotic-assisted cases nationwide. Renowned for taking on the most complex cases other centers turn away, Dr. Singhal continues to advance the standard of women’s surgical care.

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