New York Gynecology Surgery in Bay Shore and New York

Pankaj Singhal, MD, MS, MHCM

Oncology and Robotic Surgery Specialist

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.

Hysterectomy

Image Source: Cleveland Clinic

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.

NYGS Approach

Facing a Total Hysterectomy with Bilateral Salpingo-Oophorectomy can be a challenging and emotionally charged experience. At New York Gynecology Surgery (NYGS), 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.

Pankaj Singhal, MD, MS, MHCM

  • Industry expertise with over 12 years of experience in both academic & private health care settings, physician practice management and executive leadership.
  • Trained over 45 gynecologic surgeons along with training fellows in minimally invasive gynecologic surgery and gynecology oncology, and has developed cutting edge, new surgical techniques for endometriosis and laparoscopic surgeries.
  • One of the very few surgeons who have completed over 5,718 robot-assisted gynecologic surgeries in the entire United States.
  • Known for taking on the most challenging surgery cases that other doctors/centers turn away.

Hear From Our Clients

Joetta Simonette

On May 3, 2018 at Good Samarital Hospital, due to cancer, you performed ovarian surgery on me.

It is now 5 years since that date – 5 years of wellness that has been accomplished through the grace of God guiding your hands and the support of your team and my loving family.

You are an excellent, compassionate and caring doctor who was confident of a good outcome, and so it is!

Thank you, thank you for these past wonderful years. May God continue to bless you. You are in my prayers!

RG Petkos

Power couple Dr. Singhal & Dr. Mclean are amazing!! My experience with them has been absolutely wonderful. I highly recommend either of them for so many reasons mainly for helping me get back some quality of life with my successful full hysterectomy being better than I expected.

The process from the beginning with them was a pleasure and I had quite a challenge beforehand so I’m very grateful that quality, professional, caring doctors still exist!!

I especially appreciate their proactive approach and feel the combination of the care and expertise they provide make for successful outcomes!!

Kimberly Quinde

Dr. Singhal was the doctor who took care of my mother Ivonne Guevara. My mother had gone to 2 other doctors who refused to take care of her fibroid. She was in pain for years and her fibroid had grown really big without her knowing. When my mom went to Dr Singhal she was met with calmness and reassurance that everything will be ok and he would help her get better. Dr. Singhal was so kind and caring all throughout the process.

He took all her worries away and my mom highly recommends him. She hopes every doctor can be as great as Dr. Singhal.

Everyone in his office was so nice to my mom and it was a great experience given the circumstances.

Hospital Affiliations

South Shore University Hospital Northwell Health

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