6733 8810 
Hysterectomy
Dr Christopher Ng
Consultant Obstetrician & Gynaecologist
MBBS (Imperial College, UK), MMed (O&G) (S’pore), FRANZCOG (Aust-NZ), FAMS (O&G) (S’pore)
What Is a Hysterectomy?
A hysterectomy is a surgical procedure that is performed to remove the uterus, also known as the womb. This may be done to treat a variety of gynaecological conditions. It results in the permanent cessation of menstruation and the inability to conceive but if the ovaries are preserved then premature menopause is prevented.
When Is a Hysterectomy Needed?
A hysterectomy is a major surgical procedure that is only recommended to a woman when other treatments have proven unsuccessful or are not suitable and the patient’s quality of life has been significantly affected by the disease. These situations may include:
Cancer of the Uterus, Endometrium, Ovary or Cervix
Early-stage cancers that affects the reproductive organs, such as the uterus, ovary, cervix, or endometrium (the lining of the uterus), may sometimes necessitate a hysterectomy in order to stop the cancer from spreading and to achieve a cure.
Uterine Fibroids
Uterine fibroids are non-cancerous tumours arising from the uterus that can cause heavy menstrual bleeding, pain and discomfort. A hysterectomy may be recommended if a patient has large fibroids or severe bleeding and does not wish to have any more children.
Endometriosis and Adenomyosis
Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, sometimes resulting in severe pain and heavy bleeding. Adenomyosis on the other hand is a condition where the uterine lining grows into the muscle layer of the uterus. This can result in particularly painful menstrual cramps and pelvic pain. A hysterectomy may be recommended if hormonal treatments have not worked and the woman does not wish to (or is unable to) have any children.
Prolapsed Uterus
A uterine prolapse occurs when the pelvic floor muscles become too weak to support the uterus resulting in the uterus descending from its normal position into the vagina. A hysterectomy may be recommended if physiotherapy (pelvic floor exercises) fails, the supporting structures of the uterus have been significantly weakened and the woman does not wish to have any more children.
Types of Hysterectomies
There are three main types of hysterectomy surgeries: radical, total and subtotal. These procedures differ in the amount of tissue removed and the conditions that they treat.
Subtotal Hysterectomy
A subtotal hysterectomy removes only the uterus and leaves the cervix behind. This is an easier surgical option but is rarely performed nowadays.
Total Hysterectomy
This is most common type of hysterectomy and it involves the removal of both the uterus and the cervix. In some cases, one or both ovaries and/or the fallopian tubes may also be removed.
Radical Hysterectomy
The most extensive type of hysterectomy, a radical hysterectomy involves the removal of the entire uterus along with the fallopian tubes, ovaries, the cervix and the upper part of the vagina. It is usually reserved for cancer cases.
A hysterectomy can be performed in a variety of ways: through a laparoscopic umbilical incision (minimally invasive), laparotomy (open surgery), vaginally (with no cuts on the abdomen) or robotic surgery. The technique used will depend on the complexity of the case, the patient’s preferences as well as the gynaecologist’s expertise.
What to Expect After a Hysterectomy
It is common to experience some pain and discomfort after a hysterectomy, which can usually be managed with analgesics. You may also experience vaginal bleeding and discharge for several weeks post-surgery. Hormonal changes might occur if your ovaries are removed, resulting in symptoms of menopause.
To ensure a smooth recovery, prioritise getting plenty of rest and strictly follow your gynaecologist’s instructions regarding activity limitations and aftercare.
Possible Risks & Complications of a Hysterectomy
As with all surgical procedures, a hysterectomy comes with certain risks and possible complications. However, these are less likely to happen in the hands of an experienced gynaecologist and a well-trained medical team at the hospital. These include:
- Bleeding and infection
- Formation of keloids or scar tissue
- Pain and numbness over the surgical site
- Injury to surrounding organs
- Formation of blood clots
- Anaesthetic complications
Rest assured that your gynaecologist and medical team will monitor your vital signs throughout the surgery and during your recovery process so as to minimise the chances of any complications arising.
FAQs on Hysterectomy
A hysterectomy cannot be reversed. Once a woman’s uterus has been removed, she will no longer menstruate or become pregnant. If her ovaries were also removed, she will experience early onset menopause and may require hormone replacement therapy.
This will depend on your condition. In some cases, you may be able to explore less invasive options first or adopt a wait-and-see approach for the time being.
Some women may also delay having a hysterectomy until they have completed their family.
Regardless of your decision, you should discuss your options and preferences openly with your gynaecologist who will be in the best position to advise you on how to manage your treatment needs in the short and long term.
The recovery time following a hysterectomy varies depending on the type of surgery that was performed and the individual's overall health. In general, a full recovery takes approximately four weeks. During this time, prioritising rest and adhering to your gynaecologist’s post-operative instructions are essential for optimal healing.
Gynaecological Services We Provide
From routine women’s health needs to complex medical issues, our clinic is here to support you.
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Dr Christopher Ng
Consultant Obstetrician & Gynaecologist in Singapore
Qualifications & Credentials
- Bachelor of Medicine, Bachelor of Surgery (Imperial College, UK)
- Master of Medicine in Obstetrics and Gynaecology (Singapore)
- Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists
- Fellow of the Academy of Medicine, Singapore (Obstetrics & Gynaecology)
Dr Christopher Ng is a dedicated obstetrician and gynaecologist with over two decades of experience. Having been educated and trained in Singapore, the UK and the US, Dr Ng brings with him a wealth of experience and medical knowledge that puts his patient’s wellbeing to the fore.
Dr Ng also complements his practice with aesthetics and has obtained Certificates of Competence in all aesthetic procedures recognised by the Singapore Medical Council Aesthetic Practice Oversight Committee.
With over 30 years of dedicated service in the field of women’s health and rejuvenation, Dr Ng remains steadfast in his commitment to provide compassionate, personalised and effective care to all his patients.
Dr Christopher Ng is a dedicated obstetrician and gynaecologist with over two decades of experience. Having been educated and trained in Singapore, the UK and the US, Dr Ng brings with him a wealth of experience and medical knowledge that puts his patient’s wellbeing to the fore.
Dr Ng also complements his practice with aesthetics and has obtained Certificates of Competence in all aesthetic procedures recognised by the Singapore Medical Council Aesthetic Practice Oversight Committee.
With over 30 years of dedicated service in the field of women’s health and rejuvenation, Dr Ng remains steadfast in his commitment to provide compassionate, personalised and effective care to all his patients.
1 Orchard Boulevard, #04-03A Camden Medical Centre, Singapore 248649
Phone:+65 6733 8810
Fax:+65 6733 8850
After Office:+65 6535 8833
Email:gynaemd@singnet.com.sg
Mon - Friday:0900h to 1730h
Saturday:0900h to 1300h
Lunch Break:1300h to 1400h
Closed on Public Holiday and Sunday