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Vaginal hysterectomy

Lori R Berkowitz, MD
Caroline E Foust-Wright, MD, MBA
Section Editor
Howard T Sharp, MD
Deputy Editor
Kristen Eckler, MD, FACOG


Hysterectomy (ie, surgical removal of the uterus) can be performed vaginally, laparoscopically, or abdominally. It is also possible for two surgical routes to be combined in one operation, such as a laparoscopically assisted vaginal hysterectomy or a laparoscopic hysterectomy with a minilaparotomy to remove the uterus. When selecting a route for hysterectomy, the surgeon balances the medical indication, patient profile, risks and benefits, safety, and cost-effectiveness of each surgical approach. As vaginal hysterectomy is among the safest and most cost-effective routes for hysterectomy, it is the first-line approach whenever possible.

This topic will review the preoperative considerations, procedure, nuances, and complications of vaginal hysterectomy. Review of related topics can be found separately:

(See "Choosing a route of hysterectomy for benign disease".)

(See "Abdominal hysterectomy".)

(See "Laparoscopic hysterectomy".)


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Literature review current through: Oct 2015. | This topic last updated: Nov 20, 2015.
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