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    Hysterectomy A-Z: Why, When, How and What after
    Hysterectomy A-Z: Why, When, How and What after
    Hysterectomy A-Z: Why, When, How and What after
    Ebook93 pages51 minutes

    Hysterectomy A-Z: Why, When, How and What after

    By Joe Kabyemela

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    About this ebook

    Hysterectomy is the most commonly performed major surgical procedure for women. It is done for a whole variety of reasons and ways of performing the procedure have evolved a great deal. Anybody undergoing the procedure ought to be involved in all the major decisions on why, when, how, alternatives, and what to expect after, in the short and long term. All these details are explained in this book.

    LanguageEnglish
    PublisherJoe Kabyemela
    Release dateApr 8, 2012
    ISBN9781476323145
    Hysterectomy A-Z: Why, When, How and What after
    Author

    Joe Kabyemela

    I live with my wife and kids on the Wirral in the beautiful outskirts of the city of Liverpool, morth-west England. I work as a Consultant Obstetrician and Gynaecologist at Macclesfield Hospital, Cheshire. Alongside that, I hold an honorary clinical lectureship with the University of Liverpool School of Medicine. Breaking down the artificial doctor-patient information barrier is a passion to me.

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      Book preview

      Hysterectomy A-Z - Joe Kabyemela

      Hysterectomy

      Why, when, how and what to expect

      By Dr Joe Kabyemela, MD, MRCOG

      Consultant Gynaecologist and Honorary Clinical Lecturer in Obstetrics and Gynaecology

      Copyright 2012 Joe Kabyemela, MD; MRCOG

      Smashwords Edition

      ISBN: 978-147-632-3145

      Please note: Every part of this book has been scrupulously checked for accuracy and confirmed to be so. However, whilst it is meant to give you extensive and clear details on the subject, it is not meant to replace your doctor or their opinion. The author, being a practising and experienced specialist, is fully aware that unique individual circumstances may, sometimes, make it necessary to depart from standard practise. This is a detailed book, answering most potential questions on hysterectomy while avoiding medical jargon, thereby maximising accessibility.

      Dedicated to the three girls in my life: Debbie, for keeping me sane long enough to write this book despite the valiant efforts of the other two: Abela and Alinda. I love you all with all my heart

      Table of Contents

      Hysterectomy introduction

      Hysterectomy: Brief history

      Reasons for having a hysterectomy

      Menstrual problems

      Fibroids

      Endometriosis

      Genitalprolapse

      Cancer

      Unexplained pelvic pain

      Alternatives to a hysterectomy

      Preparations for a hysterectomy

      The procedure

      Post-operative phase

      Potential complications

      Types of hysterectomy

      Total Abdominal Hysterectomy (TAH)

      Subtotal Hysterectomy

      Vaginal Hysterectomy (VH)

      Laparoscopically-assisted Vaginal Hysterectomy (LAVH)

      Laparoscopic Hysterectomy (LH)

      Robot-assisted Hysterectomy (RAH)

      Radical Hysterectomy

      Hormone Replacement Therapy (HRT) after a hysterectomy

      Sex after a hysterectomy

      About the author

      Hysterectomy demystified

      A hysterectomy is a surgical procedure to remove the uterus (womb). Why are we discussing a surgical procedure? The answer is simple: This is a surgical procedure of enormous interest to a lot of people and many of those who should be interested in the subject do not know it yet. Statistics can show us why.

      In the United States, for the last 40 years, the number of hysterectomies performed has consistently exceeded 600,000 every year. The peak was in 1975 when just over 715,000 were performed. That is in a country with a female population of just over 150 million and that is counting females of all ages including infants.

      In the US, statistics show that, by the time a woman celebrates her 60th birthday, there is a 30% chance that she will have had a hysterectomy already. In other words, almost a third of all women over 60 in the United States have had a hysterectomy. The annual rate for neighbouring Canada is 47,000 hysterectomies in a country with a female population of around 16 million. These figures are from the year 2008 and, significantly, they show an almost 30% fall in number of hysterectomies performed compared to a decade earlier.

      In the UK, around 50,000 hysterectomies are performed every year. As seen above with Canada and in line with statistics from other European countries, the rate of hysterectomies performed has continued to fall steadily over the last few years. Even with that fall, it is estimated that 1 in 5 women will have had a hysterectomy by the 60th birthday. This, as you can see, is a significantly lower rate when compared to the United States. The driver for the fall in the UK and the rest of Europe has been largely due to the wide availability of effective alternatives to hysterectomy that happen to be much less invasive and more patient-friendly. We shall look at these at a later stage.

      History of Hysterectomy

      Hysterectomy as a therapeutic surgical procedure was first performed in England by the surgeon Charles Clay in the year 1843. It is only a year earlier that he had first performed surgery to remove ovaries (oophorectomy or ovariotomy), a procedure with which his name is more associated. That first

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