Hysterectomy (abdominal, vaginal, laparoscopic)

A hysterectomy is the operation that consists of removing the uterus. It is offered when conservative treatments have not brought the patient relief, particularly in cases of large fibroids, disabling bleeding, adenomyosis, prolapse or certain lesions of the cervix or the body of the uterus. Several surgical approaches are possible, and the choice is adapted to each situation: the laparoscopic route (small abdominal incisions with a camera), the vaginal route (with no abdominal scar) or the conventional abdominal route for particular cases. Depending on the indication, the procedure may involve the uterus alone or be combined with removal of the fallopian tubes, or even the ovaries, which is discussed in detail before the operation. During the preliminary consultations, the gynecologist explains the consequences of the procedure, in particular the end of menstruation and the impossibility of future pregnancy, as well as the expected benefits for the symptoms. This shared decision, never rushed, is at the heart of the team's approach. At Clinique Pasteur Tunis, the gynecological surgeons favor minimally invasive approaches whenever possible, for a simpler recovery and a faster return to normal life. The patient is surrounded by an attentive team, from the pre-operative consultation to follow-up after the procedure.