Hysterectomy Should Not Be Recommended For Benign Diseases – Antai Hospital
Today, Hysterectomy is still being actively recommended for benign gynaecological diseases, where at Antai Hospital, we opt for actual treatment instead of the direct removal of the uterus. In the USA, roughly 600,000 hysterectomy procedures are conducted annually, most being completely unnecessary. Antai Hospital strongly believes in the concept of “Protecting Our Women From Unnecessary Hysterectomies”. We do believe that there are specific critical conditions that necessitates a Hysterectomy, otherwise it is a form of consented castration, that can bring several side effects after the procedure, and reduces the quality of life of women drastically.
What is a Hysterectomy?
Hysterectomy is the surgical removal of the uterus. It is currently the most frequently performed major gynaecological surgical procedure, with millions of procedures performed annually throughout the world, with over 600,000 in the US alone. However, Hysterectomy is being performed for both benign and malignant indications, instead of just the latter. We believe this is due to the reason that conducting a Hysterectomy from a surgeon’s point of view is infinitely convenient and easier than actually administering proper surgical treatment for the underlying condition. Approximately 90% of hysterectomies are performed for benign conditions, such as fibroids causing abnormal uterine bleeding. Other indications include endometriosis/adenomyosis, dysmenorrhoea, dyspareunia and prolapse.
In Antai Hospital, we believe the only 2 criteria that necessitates a hysterectomy is for the underlying condition to be malignant (cancerous) and/or life-threatening to the patients. For the aforementioned indications, 90% of which do not require hysterectomy as they are both non-malignant and non-life threatening to the patient, which means 90% of women are undergoing this rather invasive procedure unnecessarily.
At Antai Hospital, Hysterectomy are generally recommended to patients who have conditions such as:
- Uterine Cancer
- Ovarian Cancer
- Cervical Cancer
- Endometrial Cancer
- Other specific conditions that risk the patients life (life-presevartion)
Adenomyosis can be treated and does not necessitate a hysterectomy at Antai Hospital.
How is a Hysterectomy Usually conducted?
Surgical approaches to removal of the uterus, where at least one approach was compared with another, were eligible for inclusion. Approaches were as follows:
• Abdominal hysterectomy (AH, including mini-AH): AH involves removal of the uterus through an incision in the lower abdomen.
• Vaginal hysterectomy (VH): VHinvolves removal of the uterus via the vagina, with no abdominal incision.
• Laparoscopic hysterectomy: LH involves the use of laparoscopy to perform hysterectomy. The distinctions are between the subcategories of LH based on whether ligation of the uterine vessels was undertaken laparoscopically and whether suturing of the vaginal vault was undertaken vaginally.
Thus we further subdivided LH in the analysis into LAVH, LH(a), TLH and non-categorisable LH (where there is insufficient information or the types of LH are too heterogeneous to otherwise subcategories). There are two other main classifications of LH available in the literature (Nezhat 1995; Richardson 1995) and these are summarised in Table 2 and Table 3, but we did not use these in the meta-analysis. We defined SP-LH as LH through one single port. Mini-LH involves the approach to LH through ports not exceeding 3 mm. • Robotic hysterectomy (RH): RH involves a hysterectomy approach using a robotic system, allowing more ergonomic movements that are easier to perform and are more precise in filtering tremor. One surgeon is seated in a robot console and handles the laparoscope and two to three laparoscopic instruments. RH is generally performed in a similar fashion to a TLH with suturing of the vaginal vault via the robot.
Other key factors that play a role in the outcome of a hysterectomy:
- Surgeon’s experience
- Quality of the surgery conducted
Why is this approach more harmful than beneficial?
Hysterectomies, whether partial or complete, remove the patients ability to get pregnant and cause several potential side-effects that are both life-long and require some form of management to have a better quality of life. These complications include:
- Injury of the urinary tract
- Absolute Infertility
- Urinary Incontinence
- Vascular Injury
- Bleeding
- Unintended Laparotomy
- Reduced Orgasm Intensity
- Reduction in sexual desire
- Constipation
- Pelvic Prolapse
- Risk of Depression
Under circumstances that necessitate a hysterectomy, complications (if they arise) must be managed because they are unavoidable.
What is a better alternative – Our Antai Philosophy?
Our approach here at Antai Hospital, revolves around strictly treating the diseases using either hysteroscopic and/or laparoscopic techniques for benign and non-life threatening conditions. Hysterectomy simply evades treatment by directly removing the uterus, although the underlying disease has been eliminated, it comes at a heavy price from the patient, and not so much from the doctors that conduct the procedure. If you are recommended for a hysterectomy, especially in your 20s, 30s and 40s, please first seek a 2nd opinion from a qualified specialist before proceeding because this is an irreversible procedure. Get in touch with us to find out more information regarding how we can help protect your uterus from unnecessary hysterectomies.
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.