Vaginal Hysterectomy

In the United States hysterectomy is the second most commonly performed operation on women following cesarean section. It may be indicated for a variety of gynecologic conditions including symptomatic uterine leiomyomas, endometriosis, carcinoma of the female genital tract, endometrial hyperplasia, and uterine prolapse. Many of these conditions have confounding diagnostic and therapeutic implications outside the realm of urology; thus, in this chapter the discussion is limited to vaginal hysterectomy only as it pertains to the surgical treatment of uterine prolapse. Uterine prolapse is particularly well suited to vaginal hysterectomy as the laxity of the ligamentous support of the uterus resulting in the prolapse allows excellent operative exposure transvaginally. Read more of this post