Singer Preta Jill spoke out for the first time this Sunday (20th) after undergoing tumor removal surgery, which included a total abdominal hysterectomy.
A hysterectomy is a surgical procedure that removes the uterus and may also include removal of the cervix. Gynecologist and obstetrician Andrea Grieco explains that surgery can be divided into partial and total surgery, also known as radical surgery.
According to Andrea, what determines whether the surgery is partial or total is whether only the corpus is removed or the cervix is also removed.
“Partial is when the top of the uterus is removed and the cervix is preserved. It’s the total when removed from the top to the cervix,” explain gynecologists and obstetricians. Larissa Cassiano.
This surgery is usually applied to women with serious problems in the pelvic area, such as:
- cervical cancer
- advanced stage ovarian cancer
- severe endometriosis
- uterine prolapse
“Often in oncological situations, so-called pelvic vascular invasion occurs. And as a form of protection,[the doctor]may choose to remove the uterus. It could be the cause of a case decision,” Cassiano said.
How does the procedure work?
In the case of singer Preta Jill, a total hysterectomy (removal of the body and cervix) was performed, in which an incision was made in the abdomen, or abdomen, to create an access route to the uterus.
gynecologist Aline Calixte Another option, he explains, is a vaginal hysterectomy, in which the uterus is accessed through an incision in the patient’s vaginal canal.
There is also a laparoscopic hysterectomy in which an incision is made in the navel or vagina.
What are the results of the surgery?
The main result of a hysterectomy is the inability to conceive.
Although removing the uterus also stops the menstrual cycle, Calixto reiterates, this does not mean menopause. If the ovaries are preserved, the woman will maintain part of her menstrual cycle and ovulate normally.
“Removing the uterus does not change the female hormones produced by the ovaries. She has no place in her body for the menstrual blood layer to grow (the endometrium), so she no longer menses. However, There is no change in hormones,” says Calixto.
She also believes that with a partial hysterectomy, patients may experience menstrual-like periodic bleeding. “This happens because some of the endometrium remains.”
Other effects are also possible, such as loss of libido, decreased lubrication, and pain during intercourse.
How is your recovery?
Cassiano explains that this is one of the most complicated gynecologic surgeries. “The risk is average, but the recovery is a little more complicated because of the wider incision and longer operation time,” Cassiano said.
Calixto said recovery can be considered “painful” because abdominal procedures typically affect simple daily tasks and movements.
“These risks are mitigated when we consider the possibility of video and robotic surgery today,” said Cassiano. “Overall, I don’t see much change over time after a hysterectomy.”
* Posted by: Fernanda Pinotti