Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina.

During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina.

Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen. However, if your uterus is enlarged, vaginal hysterectomy may not be possible and your doctor will talk to you about other surgical options, such as an abdominal hysterectomy.

Hysterectomy often includes removal of the cervix as well as the uterus. When the surgeon also removes one or both ovaries and fallopian tubes, it's called a total hysterectomy with salpingo-oophorectomy (sal-ping-go-o-of-uh-REK-tuh-me). All these organs are part of your reproductive system and are located in your pelvis.

Mayo Clinic's approach
Dec. 11, 2015
  1. Walters MD. Choosing a route of hysterectomy for benign disease. http://www.uptodate.com/home. Accessed Sept. 5, 2015.
  2. Hysterectomy fact sheet. U.S. Department of Health and Human Services Office on Women's Health. http://www.womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.html. Accessed Sept. 5, 2015.
  3. Stovall TG, et al. Vaginal hysterectomy. http://www.uptodate.com/home. Accessed Sept. 5, 2015.
  4. Frequently asked questions. Special procedures FAQ008. Hysterectomy. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Hysterectomy. Accessed Sept. 11, 2015.
  5. Darwish M, et al. Psychological outcomes after hysterectomy for benign conditions: A systematic review and meta-analysis. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2014;174:5.
  6. Hoffman BL, et al. Surgeries for benign gynecologic conditions. In: Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.com. Accessed Sept. 11, 2015.
  7. Einarsson JI, et al. Laparoscopic hysterectomy. http://www.uptodate.com/home. Accessed Sept. 11, 2015.
  8. Cook AJ. Allscripts EPSi. Mayo Clinic, Rochester, Minn. July 17, 2015.