Overview

A hysterectomy is surgery to remove your uterus (partial hysterectomy) or both your uterus and your cervix (total hysterectomy).

If you need a hysterectomy, you may be eligible for robotic (robot-assisted) surgery. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal incisions. The magnified, 3-D view makes possible great precision, flexibility and control.

When you have a minimally invasive hysterectomy, you're likely to have less pain and lose less blood than is typical with open abdominal surgery. You'll probably be able to resume normal daily activities more quickly than you could after open surgery.

Read more about vaginal hysterectomy and abdominal hysterectomy.

Mayo Clinic's approach

Why it's done

Your Mayo Clinic doctor may recommend a hysterectomy to treat several conditions, such as:

  • Uterine fibroids
  • Endometriosis
  • Cancer of the uterus, cervix or ovaries
  • Uterine prolapse
  • Abnormal vaginal bleeding

Robotic hysterectomy can be an excellent choice if your doctor feels that you are not a candidate for a vaginal hysterectomy based on your medical history.

Your doctor may recommend a robotic procedure if you have surgical scars or an anatomical irregularity that limits your options.

What you can expect

During the procedure

To perform a robotic hysterectomy, your doctor will:

  • Make five small incisions in your abdomen
  • Insert slender surgical instruments through those incisions

Incisions for a robotic procedure are much smaller than those used for open surgery, so you'll have less tissue trauma and smaller scars than you'd have after a traditional abdominal hysterectomy.

During a robotic hysterectomy procedure:

  • Your surgeon will stay in the same room with you and use control devices to direct the surgical instruments that remove your uterus.
  • The robotic system translates your surgeon's hand movements into precise movements at the instrument's tip.
  • Your surgeon may also remove one or both ovaries and your fallopian tubes, depending on your condition.
  • An assistant at the operating table repositions instruments, adds or removes surgical devices, and provides other support to your surgeon as needed.
  • Members of the anesthesia team continually monitor your condition and comfort.

After the procedure

Different people recover at different rates, but staying in the hospital only one night is typical.

While you're in the hospital, treatment team members will monitor you to make sure you're comfortable. You may receive medications to limit pain and prevent infection.

You can expect light vaginal bleeding for a few days to weeks after your robotic hysterectomy.

After a hysterectomy you'll no longer have menstrual periods. If your ovaries were also removed, you'll have immediate menopause. You and your doctor will talk about the pros and cons of hormone therapy to help manage menopausal symptoms, such as hot flashes and night sweats.

You may need as long as six weeks to recover. While you're recovering, your doctor may advise you to:

  • Get plenty of rest
  • Limit your physical activity
  • Avoid heavy lifting

Ask your doctor when and how you can safely resume your physical activities as you heal. You can generally expect to return to work three to four weeks after your hysterectomy.

Regarding sexual activity, you'll need to avoid intercourse for nine weeks after a robotic hysterectomy. You won't be able to get pregnant after a hysterectomy. If your hysterectomy relieves chronic pain or heavy bleeding, you may experience an increase in sexual satisfaction.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Robotic hysterectomy care at Mayo Clinic

Dec. 30, 2017
References
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  3. Walters MD. Laparoscopic and robotic-assisted total and supracervical hysterectomy. In: Hysterectomy for Benign Disease. Philadelphia, Pa.: Saunders Elsevier, 2010. http://www.clinicalkey.com. Accessed Sept. 19, 2015.
  4. Aarts JWM, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews. http://ovidsp.tx.ovid.com/sp-3.14.0b/ovidweb.cgi. Accessed Sept. 11, 2015.
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