Total abdominal hysterectomy

A total abdominal hysterectomy is an operation to remove your womb and cervix through a surgical incision in your tummy (or lower abdomen). This procedure can be used to treat a range of medical conditions, including non-cancerous tumours, endometriosis, painful periods, and cancer.    

Who is suitable for a total abdominal hysterectomy?

Your gynaecologist may recommend a hysterectomy as a treatment for various conditions affecting the 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 
  • painful or heavy periods that have not been controlled by other treatments 
  • cancer of the womb, cervix or ovaries. 

One advantage of a total hysterectomy over a subtotal hysterectomy, which only removes the womb, is that by also removing the cervix, you take away any risk of developing cervical cancer at a later date.    

After a hysterectomy you’ll no longer have periods. As the procedure is irreversible, your consultant will discuss your treatment options with you, giving you plenty of time to think about what is best for you.

What does a total abdominal hysterectomy involve? ​

A total abdominal hysterectomy usually takes an hour. During the operation, you will be under general anaesthetic. Your gynaecologist will make a precise incision across your lower abdomen, either horizontally or vertically. They will then remove your womb and cervix. They may also need to remove your fallopian tubes and ovaries.  

What can you do to prepare for a total hysterectomy?

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 total abdominal hysterectomy is a major operation. You will need to be cared for in hospital for up to four nights. 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 to recover fully and to 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 £7,060 (four nights) 

Indicative consultant fees from £1,200- £1,500 

  • Standard pre-admission tests, including electrocardiogram (ECG) and chest X-ray 
  • Accommodation in a private en-suite room for up to four 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