icon phone630-260-1818

Accepting New Patients
Most Insurances Accepted
Call Today!

What is a Hysterectomy?

A hysterectomy is the surgical removal of all or part of the uterus. If you suffer from pelvic pain, excessive menstrual bleeding or uterine fibroids a hysterectomy may be the best option to treat your problem. You do not have to have your ovaries or tubes removed at the time of hysterectomy unless they are diseased.

Benefits of Minimally Invasive Hysterectomy

Minimally invasive procedures for hysterectomy are:

  • Total laparoscopic hysterectomy (TLH)
  • Laparoscopic assisted vaginal hysterectomy (LAVH)
  • Vaginal hysterectomy (VH)

A minimally invasive hysterectomy is performed by making either 3 small (1/2 inch) incisions on the abdomen, an incision in the vagina or a combination of both techniques. These techniques result in less post-operative pain, a quicker recovery and fewer complications with less scarring. We perform all our minimally invasive hysterectomys as outpatient procedures. Yes, you will go home the same day!  We have a devised an excellent non-narcotic pain regimen to keep you comfortable and free from nausea.  Recovery in your own home not only prevents infections acquired in the hospital, it decreases your out-of-pocket cost.  Return to normal activity is about 2 weeks.

Most women are appropriate candidates for a minimally invasive hysterectomy. Careful exam by an experienced and qualified surgeon can determine which minimally invasive hysterectomy is appropriate for you. The physicians at Associates in Gynecology are experienced in all types of minimally invasive hysterectomy. They successfully perform over 98% of their hysterectomy procedures using a minimally invasive technique.

Total Laparoscopic Hysterectomy (TLH)

This procedure also involves general anesthesia and removes the uterus and cervix with the laparoscope. You will have 3 small incisions (1 in the navel and 1 in the left and right lower aspect of your abdomen in the bikini line). The TLH is performed entirely with the laparoscope. A TLH is usually recommended when removal of the uterus and cervix is desired and the patient has no relaxation in the vagina.

Most women return to normal activity in 14 days. Since there is an incision at the top of the vagina from removal of the cervix, return to intercourse is usually 6 weeks or until complete healing.

Laparoscopic Assisted Vaginal Hysterectomy (LAVH)


This technique is similar to the TLH but requires additional surgical skills and instruments to remove the uterus and cervix thru an incision made in the vagina. A laparoscope is used to facilitate the removal of the uterus, cervix and tubes and ovaries if desired. The surgeon then utilizes a vaginal approach to make an incision in the vagina at the apex to remove the organs. This procedure is usually recommended for patients that have relaxation in the vagina, mild pelvic organ prolapse (cystocele, rectocele, uterine prolapse) or urinary incontinence, which requires additional vaginal procedures at the time of hysterectomy. Similar to the TLH, you will have three small incisions (one in the navel and one in the left and right lower aspect of your abdomen in the bikini line) and an incision at the top of the vagina.

This surgery is performed under general anesthesia. Most women return to normal activity in 14 days. Since there is an incision at the top of the vagina from removal of the cervix, return to intercourse is usually 6 weeks or until complete healing of the vagina.

Total Vaginal Hysterectomy (TVH)


The uterus and cervix are removed through an incision deep within the vagina. This method can be used when the uterus is not too enlarged or when surgical repair of pelvic organ prolapse is done at the same time, such as with repair of the bladder, rectum or for surgical treatment of urinary incontinence.

This surgery is performed under general, spinal or epidural anesthesia.  The recovery period is usually 14-21 days. If your surgery includes a repair for pelvic organ prolapse, you will have lifting restrictions for 12 weeks.  Since there is an incision at the top of the vagina from removal of the cervix, return to intercourse is usually 6 weeks or until complete healing of the vagina. This method offers the lack of any visible scarring since there are no abdominal incisions.

Associates in Gynecology, Ltd.
1604 North Main Street  •  Wheaton, Illinois 60187  •  630-260-1818