Hysterectomy with an excision

While carrying out a hysterectomy, your surgeon may also perform several other surgical procedures that you may need. These include taking a biopsy of tissue, removing a layer of thick tissue, a layer of fatty tissue that is close to the ovaries, and removing lumps in the tissues surrounding the womb.    

Who is suitable for a hysterectomy with other procedures?

Your gynaecologist may recommend a hysterectomy as a treatment for various conditions affecting your reproductive system, usually where other treatments have not worked. These conditions include:  

  • fibroids – non-cancerous growths of muscle and fibrous tissue in your womb.
  • endometriosis – when the cells that usually line your womb also grow outside it.
  • cancer of the womb, cervix or ovaries. 

While performing a hysterectomy, your gynaecologist may also need to:   

  • Remove omentum, a layer of fatty tissue that is close to the ovaries. This may be done if you have ovarian cancer that has spread to the omentum, or to reduce the risk of your cancer spreading.  
  • Remove an adnexal mass – a lump or growth near the uterus, ovaries, fallopian tubes, and the connecting tissues. They are usually benign, but can be cancerous.  
  • Carry out ureterolysis – a procedure in which one or both of your ureter (tubes that carry urine from the kidneys to the bladder) are moved away from tissue pressing on them and blocking them. 
  • Take a biopsy of tissue

What does a hysterectomy with other procedures involve? ​

A hysterectomy usually takes an hour. During the operation, you will be under general anaesthetic. Your gynaecologist will make an incision across your lower abdomen. This will either be made horizontally along your bikini line, or vertically from your tummy button to your bikini line. Your doctor will then remove your womb, leaving your cervix in place. They will then perform any other planned procedures.

What can you do to prepare for a hysterectomy with other procedures?

Ahead of your operation, it helps to be as fit and healthy as possible. This will help you cope with the operation and recover strength afterwards. 

What is the recovery period?

A hysterectomy is a major operation and you will be cared for in hospital for up to five nights including if you have any extra procedures. When you are ready to go home, your consultant or specialist nurse will let you know how to manage your recovery. You may feel pain and discomfort in your abdomen for a few days after the operation, and will probably experience some bleeding and discharge for a few weeks. Typically, it can take between six to eight weeks before you can return to your normal activities, including work. 

Self-pay package

As well as working with all major insurance companies, we also welcome patients who wish to pay for themselves. Below is an outline of our self-pay hospital package which includes tests, hospital stay and procedure. Please note: it does not include consultant fees, which may vary.   

Hospital package from £8,060 (five nights) 

Indicative consultant fees from £1,500-£1,800 

  • Standard pre-admission tests, including electrocardiogram (ECG) and chest X-ray 
  • Accommodation in a private en-suite room for up to five nights  
  • All meals  
  • Nursing 
  • Ward medications and dressings 
  • Theatre procedure and anesthetics 
  • Inpatient physiotherapy, if needed, and surgical stockings 
  • Post-op and discharge medication 
  • Consultant consultation fee  
  • Consultant procedure fee  
  • Anesthetist fee 
  • Non-standard diagnostic and histology tests 
  • Any additional costs not specified in the package inclusions  

Our consultants

See a list of all the consultants available here at Cromwell Hospital.

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Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone