Advice re. hysterectomy

  1. I have just found out I've got a large cyst on my ovary, and what with being peri-menopausal, having fibroids, etc, my gyne has recommended an ovario-hysterectomy. I have asked to have my cervix left intact, if possible. Has anyone had any experience pro/con having a partial hysterectomy (cervix left in) as opposed to a total? I'm worried about things like bladder control, prolapse, sexual enjoyment, etc.

    Also, those who've had this done, what was the recovery time like as far as what you were able to do/not do? Six weeks seems like an awful long time to be lying around!
    I work as a visiting nurse, so I don't have a job that's physically demanding. Would it be possible to work part-time in the latter part of the recovery period? I don't have company sick benefits, just government unemployment insurance, which pays very little.

    Thanks for your input. (Don't nurses make the worst patients? We know too damn much!!)
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  2. 3 Comments

  3. by   HazeK
    three of us in L&D had hysterectomies a week apart! Each was for a different reason, each done differently.

    one: for uterine prolapse at age 35! had a Vag. Hyst & oooferectomy (how'd ya like THAT spelling! LOL) back to work in 4 weeks...felt good in 1-2 but No Lifting rules!

    two: for small fibroids, pre-cancerous changes. Had Total Vag Hyst w/ laproscopic assist & bladder suspension. Had epidural anesth+Versed=puked for days & itched like crazy from the duramorph. back to work in 6 weeks, due to no lifing limits.

    third, me: huge fibroids+ heavy, hemorrhagic periods lasting 3+weeks, severe anemia... Had total hyst & bladder suspension, abdomenal approach (I'm 300lbs & the uterus was size of 4 month pregnancy-so VagHyst was not an option.) I had 8 units of blood for preop & intraop bleeding--boy did I feel better after those! No n/v, but gradual recovery (i think i'm tough ol' "peasant stock") w/ full return to work at 6 weeks....AND a big huge perverse smile on my face when one of my peers c/o PMS or pads, etc! This was the best thing I did for myself! Alot less back pain, etc.

    Hope this helps a bit

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  4. by   maikranz
    Originally posted by Jay-Jay:
    I have just found out I've got a large cyst on my ovary, and what with being peri-menopausal, having fibroids, etc, my gyne has recommended an ovario-hysterectomy. I have asked to have my cervix left intact, if possible. Has anyone had any experience pro/con having a partial hysterectomy (cervix left in) as opposed to a total? I'm worried about things like bladder control, prolapse, sexual enjoyment, etc.

    Also, those who've had this done, what was the recovery time like as far as what you were able to do/not do? Six weeks seems like an awful long time to be lying around!
    I work as a visiting nurse, so I don't have a job that's physically demanding. Would it be possible to work part-time in the latter part of the recovery period? I don't have company sick benefits, just government unemployment insurance, which pays very little.

    Thanks for your input. (Don't nurses make the worst patients? We know too damn much!!)
    Hey, Jay-Jay!
    Darlin', you don't need your cervix for sexual pleasure and it certainly won't prevent
    prolapse. Good Kegel-exercised muscles do and a good repair after childbirth! If I had it to do again, I'd get more things tacked up. Leave the cx and you'll still need PAPs in addition to periodic pelvics--YUCK!
    I was out about the same time as the other posters--what got me was being so tired!
    Of course, running after three children and up and down stairs didn't help.
    Ditto about the Duramorph--I thought I'd go nuts.
    Go for it!
  5. by   Jay-Jay
    Thank you for your replies. Three hysterectomies in one L&D unit in one week! Wow! That's a coincidence worthy of the Guinness Book of World Records!

    One other question for all you ob-gyn nurses: is a large ovarian cyst considered something of an emergency where you work? I've had problems with this since my first acute attack in March, when they mis-diagnosed it as acute diverticulitis. (Maybe if I hadn't been stubborn and refused to go to Emerg., it might have been diagnosed properly the first time.) Anyway, the last acute attack did end in me being rushed to hospital on Aug. 9th. Ultrasound and CT scan showed a cyst a little bigger than a tennis ball (8+ cm.) The earliest my gynecologist was able to book my surgery was Oct. 24th. I mean, is this safe?? What's your hospital's policy on this? (My gyne is trying to get me a cancellation, but who knows if she'll be able to...I understand there's patients positively dx with Ca. on the wait list too!)

    Since then, I know the cyst has gotten bigger, because I'm having more and more discomfort, difficulty bending over, etc. Should I be yelling and screaming for a cancellation?

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