Laparoscopic vs. Vaginal Hysterectomy

The Choice

A hysterectomy is a surgical operation to remove all or part of your uterus. More than 600,000 hysterectomies are performed in the United States each year; it is one of the most commonly performed surgeries.

The three broadest categories of hysterectomies are:

What are the advantages of a getting a laparoscopic hysterectomy?

You can either choose to keep the cervix in place (supra-cervical hysterectomy) or remove the entire uterus, including the cervix (total laparoscopic hysterectomy). If your ovaries are removed during your hysterectomy, you will need to get on hormone therapy. If you keep your ovaries inside you, don’t have to take any hormones after your surgery, and you will not have hot flashes.

What are the advantages and disadvantages of keeping my cervix in place?

What situations would require me to have my cervix removed along with my uterus?

Vaginal Hysterectomy

If you want to get rid of fibroids, abnormal uterine bleeding, pelvic prolapse, cervical abnormalities, endometrial hyperplasia, or chronic pelvic pain, a vaginal hysterectomy can help a lot with these issues.

What are the statistics on laparoscopic hysterectomy vs. vaginal hysterectomy?

A Cochrane review comparing 34 randomized trials of all the different types of hysterectomies and their outcomes showed that vaginal hysterectomy has the best outcome out of the possible hysterectomy routes you can take.

Some factors make it difficult or unwise for a surgeon to perform a laparoscopic effectively and safely. These factors are:


The following situations have been proposed as indications for when a vaginal hysterectomy is not recommended:

Talk to your doctor about which route of hysterectomy is right for you. Despite the fact that all the information about hysterectomies is a little intimidating, your doctor is there to help you and figure out what is best for you. Don’t hesitate to ask any and all questions you may have concerning laparoscopic hysterectomy vs. vaginal hysterectomy.


There are thousands of Gynecologists to choose from; however, not all doctors are created equal. Gynecology takes the knowledge and finesse of an experienced Gynecologist. That’s why we’ve selected your city’s best Gynecologists – to make the decision process easier for you and your family.

For your peace of mind, Top10MD Gynecologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

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