Hysterectomy
Specialist hysterectomy surgery using advanced minimally invasive techniques, tailored to your condition and carried out with the highest standard of care.
What Is a Hysterectomy?
A hysterectomy is a surgical procedure to remove the uterus (womb). It is one of the most commonly performed gynaecological operations and may be recommended when other treatments have not been effective or are not appropriate. Depending on the indication, a hysterectomy may involve removal of the uterus alone (subtotal hysterectomy), the uterus and cervix (total hysterectomy), or additional structures such as the fallopian tubes and ovaries.
Hysterectomy can be performed using different surgical approaches, including laparoscopic (keyhole), robotic-assisted, vaginal, or open (abdominal) surgery. Prof Mahmood specialises in minimally invasive techniques, which are associated with faster recovery, less pain, and shorter hospital stays.
Benefits and Advantages
When performed for appropriate indications, hysterectomy provides definitive treatment and significant benefits, including:
- Definitive resolution of symptoms such as heavy menstrual bleeding, pelvic pain, and pressure symptoms
- Effective treatment for conditions that have not responded to medical or conservative management
- Minimally invasive approaches resulting in smaller incisions, less pain, and faster recovery
- Removal of abnormal or pre-cancerous tissue where indicated
- Improved quality of life and return to normal activities
Prof Mahmood is committed to offering the least invasive approach wherever possible, with the aim of achieving the best outcome with the shortest recovery.
Why Choose Prof Mahmood
Prof Uzma Mahmood is a Consultant Gynaecologist with specialist expertise in minimally invasive hysterectomy, including total laparoscopic hysterectomy and robotic-assisted hysterectomy. She has extensive experience managing complex cases, including those involving endometriosis, large fibroids, and previous pelvic surgery.
- Specialist training in total laparoscopic and robotic-assisted hysterectomy
- Experience managing complex cases with adhesions, large uteri, and co-existing pathology
- A thorough, individualised approach to treatment planning and patient counselling
- Commitment to minimally invasive surgery wherever clinically appropriate
- Clear communication and compassionate care throughout the treatment journey
When Is a Hysterectomy Recommended?
Hysterectomy may be recommended for a number of gynaecological conditions when other treatments have not been effective or are not suitable. Common indications include:
- Heavy menstrual bleeding that has not responded to medical treatment
- Uterine fibroids causing significant symptoms such as pain, pressure, or bleeding
- Endometriosis or adenomyosis with persistent symptoms despite other treatments
- Uterine prolapse
- Abnormal or pre-cancerous changes of the uterine lining (endometrial hyperplasia)
- Chronic pelvic pain where the uterus is identified as a contributing factor
Hysterectomy is a significant decision, and Prof Mahmood will ensure that all alternative treatments have been fully explored and discussed before recommending surgery.
What to Expect
Knowing what to expect at each stage of the process helps patients feel informed and prepared.
Before Surgery
You will have a comprehensive consultation with Prof Mahmood to discuss your symptoms, treatment history, and surgical options. Pre-operative investigations, including blood tests and imaging, will be arranged as needed. The type of hysterectomy and the surgical approach will be carefully planned based on your individual circumstances.
During Surgery
The procedure is most commonly performed laparoscopically or with robotic assistance under general anaesthetic. The uterus is carefully detached from its supporting structures and removed through the vagina or through a small abdominal incision. The fallopian tubes and, where appropriate, the ovaries may be removed at the same time. The procedure typically takes one to three hours.
After Surgery
Most patients who undergo a minimally invasive hysterectomy stay in hospital for one to two nights. You will be encouraged to mobilise early. Recovery at home typically takes four to six weeks, during which time you should avoid heavy lifting and strenuous activity. Prof Mahmood will provide detailed post-operative instructions and arrange follow-up appointments to monitor your recovery.
Is a Hysterectomy Right for You?
Hysterectomy is a major decision and is usually considered only when other treatments have been fully explored. Suitability depends on:
- The nature and severity of the condition
- Response to previous medical or surgical treatments
- Family planning status and fertility wishes
- Overall health and fitness for surgery
- Personal preferences and quality of life considerations
Prof Mahmood will take the time to discuss all available options with you, answer your questions, and support you in making an informed decision about your care.
Frequently Asked Questions
A subtotal hysterectomy removes the body of the uterus but leaves the cervix in place. A total hysterectomy removes the uterus and cervix. A total hysterectomy with bilateral salpingo-oophorectomy also removes the fallopian tubes and ovaries. The type recommended depends on your condition and individual circumstances.
Yes. The majority of hysterectomies performed by Prof Mahmood are carried out using laparoscopic or robotic-assisted techniques. These minimally invasive approaches result in smaller incisions, less pain, and faster recovery compared to open abdominal surgery.
Recovery from a minimally invasive hysterectomy typically takes four to six weeks. Most patients can resume light activities within two weeks and return to work within four to six weeks. Heavy lifting and strenuous exercise should be avoided for at least six weeks.
If the ovaries are preserved during the hysterectomy, you will not go through surgical menopause immediately, although natural menopause may occur slightly earlier. If both ovaries are removed, you will experience surgical menopause. Prof Mahmood will discuss hormone replacement options with you if this applies.
If you have a total hysterectomy (uterus and cervix removed) for a benign condition, you will no longer require cervical screening. If the cervix is retained (subtotal hysterectomy), you will continue to need regular screening. Prof Mahmood will advise you on what applies to your situation.
As with any major surgical procedure, hysterectomy carries risks including bleeding, infection, and injury to surrounding structures such as the bladder or bowel. These risks are lower with minimally invasive approaches. All potential risks and complications are discussed in detail during your pre-operative consultation.
Related Conditions
Fibroids
Specialist diagnosis and treatment of uterine fibroids in Ireland. Prof Uzma Mahmood offers advanced minimally invasive and robotic-assisted surgical management for fibroids of all sizes and locations.
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BIARGS & SERGS certified endometriosis specialist in Limerick. Prof Uzma Mahmood treats all stages including deep infiltrating endometriosis with robotic-assisted surgery. 300+ procedures, 4.99/5 on Doctify.
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Specialist diagnosis and treatment of adenomyosis in Ireland. Prof Uzma Mahmood provides comprehensive assessment and advanced minimally invasive management for adenomyosis-related pain and heavy bleeding.
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Specialist investigation and treatment for heavy menstrual bleeding in Ireland. Prof Uzma Mahmood provides comprehensive assessment and advanced minimally invasive management for menorrhagia.
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Robotic Surgery
BIARGS & SERGS certified robotic surgeon in Limerick. 300+ Da Vinci procedures, <5% complication rate. Prof Uzma Mahmood — advanced robotic gynaecological surgery at Bon Secours Hospital.
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Expert laparoscopic gynaecological surgery providing minimally invasive treatment for endometriosis, fibroids, ovarian cysts, and other pelvic conditions. Consultant care from Prof Uzma Mahmood.
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Learn moreDiscuss Your Options
Prof Mahmood will provide a clear and honest recommendation based on your individual case. Book a consultation to discuss your treatment options.