
Dr. Archana Dwivedi
Director - Obstetrics and Gynecology
at Sterling Hospitals

Conditions such as uterine fibroids, persistent abnormal uterine bleeding, endometriosis and certain gynaecological cancers can significantly affect a woman's health and quality of life. When medication or other treatments are unsuitable or ineffective, hysterectomy, also known as uterus removal surgery, may be recommended. The procedure involves surgically removing the uterus, with the surgical approach depending on the underlying condition and the patient's health.
At Sterling Hospitals, Vadodara, our gynaecology team provides structured, patient-focused care from initial diagnostic evaluation through surgical management and post-operative recovery. Each surgical plan is tailored to the individual's anatomy and medical history, offering laparoscopic, abdominal, or vaginal hysterectomy options to ensure optimal clinical outcomes and safety.
A hysterectomy is a surgical procedure to remove the uterus, also called the womb. The uterus is the organ in which a pregnancy develops. After a hysterectomy, a woman can no longer become pregnant and will no longer have menstrual periods.
The extent of surgery depends on the condition being treated. The procedure may involve removing only the uterus or also removing the cervix, fallopian tubes or ovaries when medically indicated. Removing the ovaries is not a routine requirement for every hysterectomy.
Hysterectomy may be performed through the abdomen, vagina or small abdominal incisions using laparoscopic or robotic techniques. The gynaecologist recommends an appropriate approach based on factors such as the size of the uterus, the underlying condition, previous surgeries and the patient's overall health.
Hysterectomy is a major surgical procedure and is generally considered when other treatments are unsuitable, have not provided sufficient relief or are not appropriate for the condition being treated.
A hysterectomy may be recommended for certain conditions affecting the uterus and other reproductive organs. The decision depends on the severity of symptoms, diagnostic findings, response to previous treatment and the patient's preferences and reproductive plans.
Common reasons include:
Hysterectomy is not the only treatment for every condition listed above. Depending on the diagnosis, alternatives may include medication, hormonal treatment, removal of fibroids while preserving the uterus or other procedures.
Note - Women who wish to preserve their ability to become pregnant should discuss fertility-preserving options with their gynaecologist before making a decision.
The type of hysterectomy depends on the condition being treated, the extent of surgery required and the most appropriate route for removing the uterus. The surgical approaches include the following.
Laparoscopic hysterectomy is a minimally invasive procedure performed through small incisions in the abdomen. A laparoscope, a thin instrument with a camera, allows the surgeon to view the internal organs while operating with specialised instruments.
Compared with open abdominal surgery, laparoscopic hysterectomy may involve smaller incisions, less postoperative discomfort and a shorter recovery period in suitable patients. Its suitability depends on factors such as the size of the uterus, the underlying condition and the patient's medical history.
Robotic hysterectomy is a minimally invasive procedure in which the surgeon uses a robotic surgical system to control specialised instruments. A camera provides a magnified view of the operating area, helping the surgeon perform the procedure through small incisions.
Robotic assistance may be considered for selected gynaecological conditions, including some cases involving fibroids, endometriosis or cancer. It is not necessary or suitable for every patient. The gynaecologist determines whether a robotic approach offers an appropriate option based on the individual clinical circumstances.
Non-descent vaginal hysterectomy involves removing the uterus through the vagina without making abdominal incisions. Unlike a conventional vaginal hysterectomy for uterine prolapse, NDVH may be performed even when the uterus has not descended into the vaginal canal.
This approach may be suitable for selected patients with benign uterine conditions. The decision depends on factors such as uterine size, pelvic anatomy, the underlying diagnosis and the surgeon's assessment.
Abdominal hysterectomy involves removing the uterus through an incision in the lower abdomen. It may be recommended when the uterus is enlarged, the condition requires a wider surgical approach or minimally invasive surgery is not suitable.
The appropriate approach is selected after evaluating the patient's condition and the extent of surgery required.
When medically indicated, hysterectomy can help manage conditions that cause persistent symptoms or require definitive surgical treatment. The potential benefits depend on the diagnosis and the type of procedure performed.
These may include:
Hysterectomy permanently ends the ability to carry a pregnancy. The procedure may also affect hormonal health if the ovaries are removed. These consequences should be discussed with the gynaecologist before surgery.
The preparation process begins with a gynaecological consultation to assess symptoms, medical history and the reason for considering hysterectomy. The doctor may recommend a pelvic examination, blood tests, ultrasound or other investigations, depending on the diagnosis.
The consultation is also an opportunity to discuss the proposed surgical approach, expected recovery, possible complications and alternatives to hysterectomy. If the patient may wish to become pregnant in the future, fertility-preserving options should be considered before surgery.
The doctor will review existing medical conditions and medications, including blood thinners, and provide instructions about fasting and medicines before the operation. Patients should inform the medical team about allergies, previous surgeries and any other relevant health concerns.
Hysterectomy is generally performed under anaesthesia. The surgical team carries out the procedure using the planned approach.
During laparoscopic or robotic hysterectomy, the surgeon makes small abdominal incisions to insert a camera and specialised instruments. During vaginal hysterectomy, the uterus is removed through the vagina. Abdominal hysterectomy involves an incision in the lower abdomen.
Depending on the type of surgery and the reason for it, the surgeon may remove the uterus alone or also remove the cervix, fallopian tubes or ovaries. The procedure is completed according to the agreed surgical plan, with any necessary changes guided by clinical findings.
After surgery, the patient is moved to the recovery area for monitoring. The medical team assesses vital signs, pain, bleeding and other aspects of recovery before deciding on the next steps in care.
Recovery varies according to the surgical approach, the patient's overall health and whether any complications occur. Patients may experience tiredness, abdominal discomfort or temporary changes in bowel and bladder function during the initial recovery period.
The medical team provides instructions regarding pain relief, wound care, physical activity, bathing and follow-up appointments. Gentle movement may be encouraged as appropriate, while heavy lifting and strenuous activity should be avoided until the surgeon advises that it is safe to resume them.
Recovery is often shorter after laparoscopic or vaginal hysterectomy than after open abdominal surgery. However, complete recovery can take several weeks, and the recommended timeline differs from one patient to another.
Patients should seek prompt medical attention if they develop heavy bleeding, fever, worsening abdominal pain, foul-smelling vaginal discharge, difficulty passing urine, chest pain or sudden breathlessness.
Hysterectomy is a major operation, and like any surgery, it carries potential risks. The likelihood of complications depends on the patient's health, the reason for surgery and the approach used.
Possible risks include:
The surgeon explains the risks relevant to the individual patient before the procedure. Following preoperative instructions, taking prescribed medicines and attending follow-up appointments can help support recovery.
The cost of hysterectomy in Vadodara varies according to the type of surgery, the complexity of the condition and the patient's individual medical requirements. Laparoscopic, robotic, vaginal and open abdominal procedures may have different costs because they involve different surgical techniques, equipment and hospital resources.
Factors that may influence the overall cost include:
The total cost may also differ if the procedure involves removing additional reproductive organs or treating gynaecological cancer.
For an accurate estimate, patients can contact Sterling Hospitals, Vadodara, after discussing the diagnosis and proposed procedure with a gynaecologist. The hospital can provide information about the expected charges based on the planned treatment and admission requirements.
Deciding to undergo a hysterectomy (uterus removal surgery) is an important healthcare decision that requires careful evaluation, experienced surgical planning, and dependable hospital infrastructure. At Sterling Hospitals, Vadodara, we provide end-to-end gynaecological care—from initial diagnostic evaluation and pre-operative preparation to advanced surgical execution and post-operative recovery.
Our department of gynaecology comprises specialists trained in evaluating both routine and complex gynaecological conditions. Before recommending a hysterectomy, our specialists perform thorough clinical assessments to evaluate all appropriate treatment options. When surgery is required, the surgical approach is tailored to the patient’s specific condition, anatomical considerations, and overall health.
Our gynaecology team selects the surgical technique best suited to each patient's condition. We perform minimally invasive laparoscopic hysterectomy for reduced recovery time, vaginal hysterectomy where clinically appropriate, and conventional abdominal surgery for complex or enlarged uterine conditions.
Successful surgical outcomes rely on accurate pre-operative mapping and a controlled operating environment. Sterling Hospitals is equipped with modern diagnostic facilities, including high-resolution ultrasound, CT, MRI, and in-house pathology services, to thoroughly evaluate pelvic anatomy prior to surgery. Our advanced, fully equipped operation theatres maintain strict sterile protocols to support patient safety throughout the procedure.
For patients with underlying health conditions, complex surgical requirements, or those undergoing radical hysterectomy for gynaecological cancers, dedicated monitoring is essential. Sterling Hospitals provides continuous post-operative care through specialized High Dependency Units (HDU) and Intensive Care Units (ICU), managed by trained critical care physicians and nursing staff.
Gynaecological surgery often requires coordinated care across multiple medical specialties. Our gynaecologists collaborate closely with experienced anaesthetists, clinical oncologists in cases of suspected or confirmed malignancy, pathologists, and general surgeons to manage complex cases and ensure comprehensive perioperative care.
Recovery after a hysterectomy extends beyond the operating room. Our care team provides structured discharge planning, pain management guidelines, wound care instructions, and tailored activity recommendations. Patients also receive guidance on long-term health management, including hormonal balance considerations and pelvic floor health, to support a smooth transition back to daily life.
If you have been advised to undergo uterus removal surgery or are exploring treatment options for a gynaecological condition, consult a gynaecologist to understand the available approaches and determine whether hysterectomy is appropriate.
To schedule a consultation at Sterling Hospitals, Vadodara:
The treating gynaecologist can explain the diagnosis, discuss alternatives and help you understand the next steps based on your medical needs.
Obstetrics and Gynaecology Doctors

Director - Obstetrics and Gynecology

Senior Consultant Robotic & Advanced Laparoscopic Gynaecologic Surgery.
Uterus removal surgery is called a hysterectomy. It involves surgically removing the uterus. Depending on the condition being treated, the procedure may also include removing the cervix, fallopian tubes or ovaries.
A hysterectomy may be recommended for conditions such as symptomatic uterine fibroids, persistent abnormal uterine bleeding, severe endometriosis, uterine prolapse or certain gynaecological cancers. It is generally considered when other treatments are unsuitable or have not been effective, although the appropriate approach depends on the diagnosis.
Yes. Hysterectomy is a major surgical procedure. The extent of surgery, anaesthesia, hospital stay and recovery depend on the surgical approach and the patient's health. The surgeon will explain the expected process and risks before the operation.
Laparoscopic hysterectomy uses small abdominal incisions through which a camera and surgical instruments are inserted. Open abdominal hysterectomy involves a larger incision in the lower abdomen. Laparoscopic surgery may offer less postoperative discomfort and a shorter recovery period in suitable patients, but it is not appropriate for every case.
Yes. The ovaries do not always need to be removed during a hysterectomy. Whether they are retained depends on factors such as the patient's age, medical history, underlying condition and risk of ovarian disease or cancer. The surgeon should discuss the benefits and risks of removing or retaining the ovaries before surgery.
If the uterus is removed but the ovaries are retained, menopause does not usually occur immediately as a direct result of the surgery, although it may occur earlier than it otherwise would. If both ovaries are removed before natural menopause, surgical menopause occurs because hormone levels drop suddenly.
Recovery depends on the surgical approach, the patient's health and whether complications occur. Recovery is generally shorter after laparoscopic or vaginal hysterectomy than after open abdominal surgery. Full recovery may take several weeks, and the surgeon will provide guidance on returning to work, exercise and other daily activities.
Potential risks include bleeding, infection, blood clots, injury to nearby organs and complications related to anaesthesia. If both ovaries are removed before natural menopause, surgical menopause may also occur. The individual risks depend on the patient's condition and the procedure being performed.
Yes. Removing the uterus permanently stops menstrual periods. A hysterectomy also means that pregnancy can no longer be carried. The effect on hormone levels depends largely on whether the ovaries are retained or removed.
The cost depends on the surgical approach, complexity of the condition, hospital stay, investigations, medicines and other treatment requirements. Contact Sterling Hospitals, Vadodara, for a cost estimate based on the procedure recommended after medical evaluation.
