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A supracervical hysterectomy removes the upper part of the uterus while preserving the cervix. This approach is often recommended for conditions such as fibroids, abnormal uterine bleeding, adenomyosis, or endometriosis when full removal of the cervix is not medically necessary. By keeping the cervix intact, many patients experience maintained pelvic support and a gentler recovery compared to a total hysterectomy.
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For many women, a supracervical hysterectomy offers the benefits of symptom relief with less surgical disruption. Recovery may be faster, postoperative pain may be reduced, and some aspects of sexual function can remain unchanged. While the cervix remains in place—meaning routine cervical screenings continue—the procedure provides a balanced option for women seeking effective treatment with preserved anatomy.
Hysterectomy, a widely performed surgery worldwide, is conducted for various reasons, including fibroids, excessive menstrual bleeding, and pelvic pain. A supracervical hysterectomy is a surgical procedure in which the upper part of the uterus is removed while leaving the cervix intact. This type of hysterectomy is often chosen for specific medical reasons or patient preferences. During the surgery, the surgeon detaches and removes the upper portion of the uterus, but the cervix is left in place. This can be beneficial for some women as it preserves the cervix, which may have a role in sexual function and maintaining pelvic support.
One advantage of a supracervical hysterectomy is that it may result in a shorter recovery time and less postoperative pain compared to a total hysterectomy, which involves removing the entire uterus, including the cervix. However, it’s important to note that some women may continue to experience cyclic vaginal bleeding after this procedure.
A common reason for a supracervical hysterectomy is the presence of benign conditions or disorders of the uterus that necessitate the removal of the upper part of the uterus while preserving the cervix. Some of these conditions include:
In a supracervical hysterectomy, only the upper part of the uterus is removed, while the cervix is left intact. This procedure can have different effects compared to a total hysterectomy, where the entire uterus, including the cervix, is removed.
Women who undergo a supracervical hysterectomy will no longer experience menstruation, as the upper part of the uterus responsible for shedding the uterine lining during periods is removed. However, because the cervix is preserved, some women may experience less disruption in terms of pelvic support and sexual function compared to those who have had a total hysterectomy. It’s important to note that individual experiences can vary, and some women may still experience changes in sexual sensation or comfort.
A supracervical hysterectomy generally has a shorter recovery time and less postoperative pain compared to a total hysterectomy. This can be beneficial for women who want to return to their regular activities more quickly.
Additionally, routine cervical screening is still necessary after a supracervical hysterectomy to monitor for any cervical issues that may arise in the future.
A Supracervical Hysterectomy typically takes approximately 1 to 2 hours to complete, as it involves removing only the upper part of the uterus while preserving the cervix. On the other hand, a Total Hysterectomy involves the removal of the entire uterus, including the cervix, and may take longer, typically around 1.5 to 2.5 hours.
Laparoscopy plays a significant role in a Supracervical Hysterectomy (LSH), a minimally invasive surgical procedure aimed at removing the upper part of the uterus while preserving the cervix.
During an LSH, small incisions are made in the abdominal wall through which a laparoscope, equipped with a camera and surgical instruments, is inserted. This laparoscopic approach provides our surgeon Dr Pankaj Singhal with a clear and magnified view of the pelvic region, allowing for precise and controlled movements throughout the procedure.
With the laparoscope’s assistance, the surgeon carefully detaches the upper section of the uterus from its surrounding structures, such as ligaments and blood vessels. This detached uterine tissue is then typically removed in pieces through one of the small laparoscopic incisions. Importantly, the cervix is left untouched and preserved, as it is a distinguishing feature of a Supracervical Hysterectomy. The benefits of laparoscopy in this procedure include smaller incisions, reduced postoperative pain, shorter hospital stays, and quicker recovery times, making it a preferred choice for many patients and surgeons.
We understand that facing a Supracervical Hysterectomy 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 Supracervical Hysterectomy 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.
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.