When is it performed?
- Uterine prolapse (together with prolapse repair)
- Abnormal uterine bleeding that does not respond to medication
- Fibroids that are not very large
- Endometrial hyperplasia or recurrent precancerous lesions of the cervix
When the uterus is very large, extensive adhesions are expected or the abdomen needs to be assessed, laparoscopic hysterectomy may be preferred.
The operation
The operation is performed under general or spinal anaesthesia and usually takes 1–2 hours; additional procedures such as prolapse repair may lengthen it. The uterus and cervix are removed through the vagina and the top of the vagina is stitched. Whether the ovaries and tubes are removed is decided together before surgery.
Recovery
- Most patients go home the same day or the next day.
- Walking early reduces the risk of blood clots and wind pain.
- Heavy lifting, tampons and intercourse are avoided for a while.
- Constipation is common; a high-fibre diet and, if needed, stool softeners are recommended.
Possible complications include bleeding, infection, temporary difficulty passing urine and, rarely, bladder injury.
Frequently asked questions
Is there a visible scar after vaginal hysterectomy?
No. The whole procedure is done through the vagina, so there is no abdominal incision or scar.
Does vaginal hysterectomy affect sexual life?
In most women who had symptoms before surgery, sexual life stays the same or improves afterwards. You wait until the vaginal stitches have healed, usually about 6 weeks.
Is vaginal hysterectomy suitable for everyone?
No. The most suitable approach is chosen after assessing the size of the uterus, the width of the vagina, previous operations and the reason for surgery.
Book a consultation
Prof. Dr. Derya Sivri Aydın sees patients at Medical Park Bahçelievler Hospital, Istanbul. International patients are supported by the hospital's International Patient Services Center.
The information on this page is for general guidance only; the right diagnosis and treatment for you are decided after a consultation. Last updated: November 2026.