Hysterectomy, Oophorectomy, Vaginectomy

  

Hysterectomy

 

A hysterectomy is surgery to remove the uterus. Most hysterectomies are either Laparoscopically Assisted Vaginal Hysterectomy (LAVH) or Total Laparoscopic Hysterectomy (TLH).

 

Hysterectomy is considered by WPATH to be a medically necessary procedure for gender-affirming for many patients. Often, the procedure is combined with other surgeries, including oophorectomy (removal of ovaries) vaginectomy (removal of the vagina) and phalloplasty (construction of a penis), although they are not necessarily performed all at once.

 

Once you’ve had a hysterectomy, your menstrual periods will stop and you’ll be unable to get pregnant.

 

What should I expect during surgery?

The surgical procedure lasts about 1 to 3 hours, and usually involves a hospital stay of 1 or 2 days.

 

What about recovery?

LAVH has a typical recovery time of 4 to 6 weeks with restricted activity, while TLH has a typical recovery time of 2-4 weeks of restricted activity.

 

 

Oophorectomy

 

Oophorectomy is the surgical removal of the ovaries. For transmasculine patients, a Bilateral Salpingo Oophorectomy (BSO) is performed, which is the removal of both ovaries and fallopian tubes. The fallopian tubes are also removed due to the risk of ovarian cancer if they remain. Discuss with your surgeon the option to leave the ovaries intact, as they can help with bone health if you choose to stop taking hormones.

 

This procedure is usually performed at the same time as your hysterectomy.

 

 

Vaginectomy

 

A vaginectomy is the removal of the vagina and closing of the vaginal opening. For transgender men, a vaginectomy is actually two separate procedures: Colpectomy and Colpocleisis (removal of vaginal lining and fusion of the vaginal walls).

Vaginectomy is typically a required procedure prior to Phalloplasty (construction of a penis).

 

What should I expect during surgery?

The surgical procedures last 2-3 hours and is usually performed laparoscopically.

 

What about recovery?

Recovery time and hospital stay length depend on if the procedure was combined with other procedures such as hysterectomy. Pain is common in the first 2 weeks of recovery, and your surgeon will go over expected recovery times and restrictions.