Laparoscopic Supracervical Hysterectomy (LSH) is a minimally invasive choice.
- Innovative, minimally invasive procedure
- Designed to reduce pain
- Leaves only tiny scars
- Can be done on an outpatient basis
- You can get back to most of your routine in less than a week
What is LSH?
LSH is a recent surgical option that uses laparoscopy alone to remove the uterus, but leaves the cervix intact. During the procedure, a laparoscope and small surgical instruments are inserted through tiny incisions in the navel and abdomen. Using these instruments, the surgeon is able to carefully separate the uterus from its pelvic connections and from the cervix. The uterus is then removed through one of the incisions.
LSH is less invasive than traditional “open” hysterectomy and has many advantages. It was developed to reduce pain and trauma to the body, minimize scarring and shorten recovery time. The procedure can be performed on an inpatient basis under general or regional (spinal or epidural) anesthesia, which means that you can be resting comfortably within 24 hours and back to your normal activities in less than a week, 6 days is the average.
In addition, LSH preserves the cervix, which some research suggests may help to reduce the risk of pelvic floor prolapse and other complications associated with total hysterectomies, including sexuality concerns.
Because the cervix is left in place, however, you must be willing to continue annual pap smears to screen for cervical cancer.
Is LSH Right For ME?
It is important to discuss the possibility of performing an LSH with your doctor. Most women are candidates for the procedure when considering hysterectomy. Patients not generally considered optimal candidates are women with history of cervical dysplasia or endometriosis near the cervix. Moreover, if the uterus is very large due to fibroids, it may not be possible to perform LSH.
Why Should I Choose LSH Over Other Hysterectomy Options?
LSH can be performed on an outpatient basis and you may be home resting comfortably within 24 hours. In addition, LSH allows you to preserve your cervix which some research suggests that the cervix may play a role in sexual arousal and the ability to achieve orgasm in some women. By leaving the cervix, some gynecologists believe that the risk of uterine prolapse and other complications are reduced as well. Recovery is quick with LSH. This includes post operative recovery as well as return to normal activities including work and in time, to intercourse.
What Can I Expect After I Go Home?
LSH is laparoscopic surgery and over the first 24 hours, you may experience some pain, nausea, tiredness and abdominal discomfort. This pain should be readily relieved by oral pain relives. Pain will decrease over the next several days. Consult your physician if any of your post operative symptoms concern you.
For more information on this procedure, call our office to set up a consultation with our physician.