Long-term complications of hysterectomy

What are the long-term side effects of a hysterectomy?

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What are the long-term side effects of a hysterectomy?

Long-term effects of hysterectomy on the pelvic floor that should be considered in surgical decision-making are: pelvic organ prolapse, urinary incontinence, bowel dysfunction, sexual function and pelvic organ fistula formation.

Long-term complications of hysterectomy

Hysterectomy may result in a number of side effects and complications in the short term, such as: bleeding, vaginal discharge, and constipation, and may result in other complications in the long term. We remind you of the complications of hysterectomy in the long term as follows:

1. Vaginal prolapse

Most women do not experience organ prolapse after a hysterectomy, but it is a possible complication.

In some cases, prolapse may occur in the pelvic organs as it happens to the vagina, where the vagina becomes after hysterectomy not connected to the uterus and cervix, causing it to bend on itself, and in advanced and more severe cases, the upper part of the vagina may come out visually outside the body through the vaginal opening.

Symptoms of a vaginal prolapse include:

  • Feeling of pressure in the vaginal area.
  • Feeling that the vagina is full.
  • Trouble with defecation.
  • Inability to empty the bladder.
  • Feeling pain during intercourse.

The appropriate treatment in simple cases of vaginal prolapse is exercises to strengthen the pelvic floor muscles, such as: Kegel exercises , and advanced cases may need surgical interventions such as: strengthening the vaginal wall, or suspending the vagina.

2. Menopause

When removing the uterus and ovaries, the patient may experience menopause directly and the interruption will last for many years, and the symptoms of menopause may appear more severe than the symptoms of menopause naturally, symptoms include the following:

  • hot flashes;
  • Decreased sexual desire.
  • Mood swings.
  • Vaginal dryness.
  • Pain when having sex.

These symptoms are caused by changing estrogen levels , so hormonal therapy may be the best treatment option.

In other cases, the uterus is removed without removing the ovaries. In this case, menopause may not occur, but the patient’s menopause is expected to occur sooner than normal, approximately one to two years after the hysterectomy.

3. Increased risk of heart disease

It has been shown that women who undergo a hysterectomy have an increased chance of developing heart disease even if the ovaries are not removed along with the uterus.

Also, younger women, i.e. those under the age of 35, who have had a hysterectomy have a higher chance of developing heart disease, such as:

  • congestive heart failure;
  • Coronary artery disease.
  • Plaque buildup in the arteries.

The patient may undergo a hysterectomy at the age of before 35, but the risk of heart disease increases with age, so doctors are advised to consider other treatment options such as hormonal therapy before undergoing a hysterectomy.

4. Increased risk of mental illness

Some mental illnesses may be a long-term complication of hysterectomy because the patient is unable to become pregnant after hysterectomy, and this may increase the risk of depression, anxiety and other mental illnesses over time.

5. Other complications

It is possible that a hysterectomy may increase the chance of developing some diseases in the long term. These diseases include the following:

  • high blood pressure ;
  • lipid disorders;
  • obesity;

Short-term complications of hysterectomy

After identifying the long-term complications of hysterectomy, we mention to you some of the physical and psychological complications that may appear to the patient immediately after the operation, including the following:

  • Pain, swelling and redness at the incision site.
  • Numbness near the hard place.
  • The appearance of menopausal symptoms if the ovaries were removed as well.
  • Bloody vaginal discharge during the days following the operation.
  • Feelings of anxiety because of the cessation of menstruation and pregnancy.

When should you see a doctor?

You should visit a doctor in the following cases:

  • Profuse bleeding from the vagina.
  • Notice the foul smell coming out of the vagina.
  • Gastrointestinal disorders, such as constipation or diarrhea.
  • Feeling of pain or swelling in the area of ​​the operation incision.
  • Strong mother does not respond to analgesics.
  • Inability to urinate normally.

source : wikipedia 

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