Uterus Radical Hysterectomy

Uterus after hysterectomy

This photo shows the uterus and fallopian tubes Stage IIa cervical cancer (circled in black) after a radical hysterectomy/bilateral salpingo oopherectomy. Stage II means the cancer has spread in the immediate vicinity, and you can see the vaginal involvement as well as the tumor on the cervix. Radical hysterectomies are performed on women with cervical cancer or endometrial cancer that has spread to the cervix. A radical hysterectomy removes the uterus, cervix, top part of the vagina, ovaries, fallopian tubes, lymph nodes, lymph channels, and tissue in the pelvic cavity that surrounds the cervix.  This woman is 58 years old, had a cesarean birth many years ago, and had HPV.

Cervix after Hysterectomy

This is a close up of the cervix with cancer circled in black.  Her surgeon called it “dinky”.

The woman is healing well from her hysterectomy.

 

41 thoughts on “Uterus Radical Hysterectomy

  1. What are the marks on the body of the uterus? Are they marks left by clamps used in the surgery?

    [Reply]

    beautifulcervix Reply:

    Yes, the marks are from the surgeon’s instruments that were clamped onto the uterus. It does not seem that the scar from her c-section is visible as it was a low-bikini incision.

    [Reply]

    mike Reply:

    They are used to clamp off the blood supply and prevent bleeding prior to ligation.

    [Reply]

  2. Well, maybe it’s medically interesting or important – but there’s nothing “beautiful” in these cervix-pictures…

    [Reply]

    ami Reply:

    every cervix is beautiful, no matter the circumstance, and if you dont belive so thats pretty ignorant,this woman posted these pictures to inform or show people this process.it may not be beautiful to you but other people may think diffrantly. dont come on here and bash this.although i can see where you are coming from it is rude to say such a thing

    [Reply]

    Sarah C Reply:

    I could be completely wrong, but I think she means cancer is ugly.. If that’t the case, I agree.. Again, could be wrong, but that’s what I got from it.

    [Reply]

  3. What are the effects on the woman with regards to intercourse when the cervix and top part of the vagina are removed? I’m imagining sperm just floating around the body!

    [Reply]

    Ieasa Reply:

    I am assuming they close up the top of the vagina.

    [Reply]

    Courtenay Reply:

    Following a radical hysterectomy women can continue to have a relatively normal sex life, however natural lubrication of the vagina is an ongoing issue.

    [Reply]

    Iris Reply:

    No, she cannot experience sexual pleasure as before because of the severed nerves. The nerves in the cervix are important for women to have deep orgasms. She may also have pain on penetration for the rest of her life.

    [Reply]

    Sara Reply:

    Not true! I had a partial hysto (uterus and cervix) over 3 years ago and cannot tell the difference between the sensation I felt before my operation and what I feel today during sexual intercourse. I am also orgasm with just as much frequency as I did pre-surgery and it feels no different. While I’m sure some women experience very disappointing complications, I don’t believe that cervix removal categorically results in diminished sensation or sexual pleasure.

    [Reply]

    beautifulcervix Reply:

    That is so good to hear!

    [Reply]

    Heidi Reply:

    Hi Iris, what you are saying is not right.
    I myself had my cervix and uterus removed because of cervical cancer that had spread to the uterus. Although healing took some time, my experience of sex after surgery is the same and even better when it comes to oral sex. My orgasms have not suffered from loosing these organs. It is of course different for every woman but making such statements as you did is not helpful for women going through this life-altering experience.
    More info: http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/sexualsideeffectsinwomen/sexualityforthewoman/sexuality-for-women-with-cancer-rad-hysterectomy

    [Reply]

    Robin Reply:

    Sorry, but that’s untrue.

    I’ve had a radical hysterectomy & oopherectomy, and I’m still capable of orgasms just as pleasurable as prior to the hysterectomy.

    I know many people in a similar situation to me, so I know I’m not an unusual case, either.

    There are many nerve endings still intact in and around the clitoris, the labia, the G-spot, the perineum and anus. Although sexual sensation may well be different post-hysterectomy it’s by no means a given or even the expected outcome.

    [Reply]

    nanette Reply:

    Yes you are right. I had a partial hysterectomy due to fibroids and I am sorry that I had it done. Sex is painful (even when the conditions are perfect) and I miss those deep orgasms terribly. At the time I really felt that I was ready for the surgery-my fibroids were the size of a walnut and I had 6 of them which were causing a three week heavy period. And I took the wait and see if it gets worse approach for over a year. I wasn’t ready for all the emotions either. I was grief stricken and still mourn not being able to have a baby.

    [Reply]

    Beverly McNeilly Reply:

    Here’s an update for you. I recovered well from the hysterectomy. My vagina was shortened but I used a dilator for a while and my husband and I enjoy regular sexual activity. My enjoyment is lessened but some of that may a leo just be due to normal post-menopausal libido issues. I had 3 symptom-free years where I moved across the country, started a wonderful new job, had some great vacations. At a regularly scheduled 3 year follow-up appointment, a recurrence was detected by manual exam. PAP smears had been normal. The cancer has metastasized to the liver so it is incurable. I had a slight remission from 8 rounds of carboplatin/taxol/avastin but the disease did start progressing again. I am in a clinical trial at Johns Hopkins trying to get my immune system to attack the cancer.

    [Reply]

  4. Please tell how the woman was diagnosed? Was it using the traditional pap or some other way, if you know?

    [Reply]

    Beverly McNeilly Reply:

    I was living in an area with limited health services and had let my PAP smears slide – never a good thing. I was lubricating before intercourse and felt a bump. It was surprising how often when I reported this to a doctor, his face would work to hide his disgust – a reminder that cervical cancer has such a shadow of shame over it because of American’s ambiguous feelings about sex.

    [Reply]

  5. I’m thinking that if you look really closely at the lower picture, you can tell where the incision for the C-section was made. To me it looks like there is a scar about 2″ up from the cervix OS -but I could be wrong

    [Reply]

    Minette Reply:

    The low-bikini mentioned in an earlier post refers to the incision on the skin. You don’t usually see the incision made on the uterus. The area where we cut for C-section is called the lower uterine segment and is only found in pregnant uterus near term. Other wise, it is known as the isthmus. The isthmus is thicker than the LUS. That’s why it’s more difficult to do C-section for pre-terms, because the area is thicker. What you saw 2″ above the os is the vaginal cuff that was removed in the radical hysterectomy. HOpe this helps clear things up some.

    [Reply]

  6. Hace 3 años me hicieron la biopsia del cuello, me quemaron todo alrededor, y estuve dos años bien, realizándome el pap primero cada 3 meses y luego cada seis…Hoy, mi pap arroja nuevamente NIE II Y III. El doc me habla de conización….he revisado, he leído, ví esta foto de la histerectomía radical y me aterra…tengo miedo, tengo dos hijos, de 9 y 6 años…me da miedo que me pase algo, ya tuve un aneurisma cerebral…casi morí…, en general, soy una persona muy positiva, pero esto me tiró al suelo…justo estaba apenada por una persona que amo mucho y está pasando por un mal momento por un cáncer de colon…, estoy triste, con miedo…pienso en cuánto tiempo voy a quedar sangrando…, pienso que nunca más voy a querer tener sexo….tengo miedo, pena…siento rabia porque me transmitieron el papiloma…. Si alguien me puede decir algo lo agradecería, ya que no es un tema que se pueda conversar fácilmente…de hecho no se lo he contado a nadie…ni pretendo hacerlo… Gracias

    [Reply]

    Maria Reply:

    Hola, yo estpy creo mas o menos en la misma situacion, no tengo una toral certeza pues dificil de asegurar el mejor camino, pero yo consulte con mi dra deMex a la que lw tengo toda la confianza y me dice que ya tuve hijos y que no necesito mas el utero si me esta dando problemas, que me haga una conizacion solo para descartar que no haya invasion y si la hubiera tenwr claro hasta donde y asi podwr determinar si realiza una hysteroctomia total o radical, al principio me apanique y estaba enojada, por dejar pasar el tiempo sin ponwr uma solucion definitiva, pero se que enojarme no me sirve de nada mas que para tomar la decision inmediata de irmw Mex a operar de una hysteroctomia feliz y seguir adelante, pues hay esperanza de un buen manejo todavia no? Hay que sacar valor y amor a la vida, te deseo lo mejor y que encuentres un muy buen
    especialista. Concentra en el presente tu energia.

    [Reply]

  7. that seems radical indeed. the cancer seems really small to have everything removed…
    also what are those black lines around the fallopian tubes and on the sides of the uterus? veins?

    [Reply]

  8. hola buen dia se ve muy buena la informacion pero no entiendo nada de lo que dice podrian por favor traducirla a español, gracias.

    [Reply]

    beautifulcervix Reply:

    Right hand column, there is a Site Translator button.

    [Reply]

  9. I am a couple weeks post total abdominal hysterectomy. I can’t seem to find even one picture or video of a vaginal exam of a woman without a cervix. I want to know what I look like inside of there now. Do you have any suggestions?

    [Reply]

    shelley Reply:

    I had my total hysterectoy 6 weeks ago including removal of my cervix due to endometriosis. I too would be interested to see what it would look like without the cervix there. Its a strange feeling seeing what has been removed. It makes me feel a big sense of loss. Hope you are recovering well Shara.

    [Reply]

  10. This is so sad, i could never imagine losing all of those parts, it makes me appreciate the parts i have and LOVE my period again. I’m glad the woman is ok.

    [Reply]

  11. I am recovering well. Totally recovered and feeling better than ever. I should have had the total hysterectomy done at 21 rather than 31. I can’t believe how awesome my life could have been much sooner!

    I am not defined by a period, a uterus, cervix or ovaries. I am so much more than that and I can finally show everyone else that! I’m most proud to show myself this side of me.

    Sex is better than it ever was and it was awesome anyway!

    [Reply]

    Jane Reply:

    I’m 26, two years ago I almost had a radical historectomy but got away with a civically cone with clean margins. I was diagnosed with hpv at 19 and have a lot of cancer in my family. Every three months, when I go in for a PAP, my doctor reminds me that in his medical opinion I should still have the historectomy, for preventative reasons.

    Thank you for showing these images and opening up this dialogue.

    My conflict in the matter is complicated and very emotional. On the one hand, I can’t think of living life without the very thing that makes me a woman and a potential mother (I have not had kids yet). On the other hand I fear for my life everyday, like I’m a ticking clock.

    Shara, it’s very nice to hear that you feel fine, even better than before, after you had a radical historectomy. Sex is still ok? Orgasms? I’ve heard that the operation throws women into early menopause. Thoughts on that?

    [Reply]

    beautifulcervix Reply:

    That sounds do hard. Here is some info about boosting your immune system to help fight HPV: http://sisterzeus.com/dysplasia.html

    [Reply]

    Heidi Reply:

    Hi Jane, I am a 29 year old woman. I had a rad. hysterectomy over a year ago, I had cervical cancer T1B2 so there wasn’t a choice for me. I also had pelvic radiation and chemo because they found cancer cells in the lymphatic vessels (not in the lymph nodes). Healing took some time and at first we had to use lubes and be very patient to have intercourse. Today the orgasms are great and even better than before so I consider myself a lucky woman, being alive and enjoying sex even though I am “half a woman”. I myself feel like a ticking time bomb and am still learning to enjoy life and relax.

    I really hope you will consider having this surgery. Not having children is an awful thought, but children growing up without a mother is worse for me. Adopting is the best way, there are so many children that need a good mother and I wish to be that mother one day.

    [Reply]

  12. Glad your feeling better but i was wondering Is it possible to still have a orgasim after having a hysterectomy?

    [Reply]

    beautifulcervix Reply:

    Check out the HERS foundation for good data on this:
    http://www.hersfoundation.com/effects.html
    According to one of their studies of 1000 women, 60% reported diminished or absent orgasm….

    [Reply]

  13. went to the dr yesterday – he said I have 3 tumors as well a fibro cycts ( I had the baloon ablation 6 years ago) – I would like to know what happens if you ignore this tumors – will it eventually become cancerous – I am 52 and started heavy bleeding 2 months ago

    [Reply]

  14. Hi, my name is Crystal and I am 30 years old. I am going in, in Nov. to have a total(uterus & cervix) hysterectomy. I have had many problems most of my life with all my “female goods”, that aren’t so good. I also suffer from ovarian cyst and have for as long as I can remember. I had my tubes tied in Sept. of 2009, after my 3rd baby. All 3 of my girls are huge blessings to me as I was told at 17/18 and again at 20, that I would never have children.
    After each birth my periods and symptoms got worse and after the last birth it has been even worse. The cyst, periods, PMS symptoms, pain and ect. have been so bad. My doctor has never wanted to do anything for me other than put me on birth control, umm, that was one of my reasons to have my tubes tied! This past week I had a pelvic MRI done for other reasons and it showed several gyno. problems. My doctor then told me to get to my OB/GYNO ASAP. I did that yesterday and he has now said that I do need a hysterectomy, uterus and cervix. I also have a family history going back as far as we can trace, of every women in their mid 30′s getting/having cervical cancer. I am very happy about this all he way around, I guess you can say. The only thing is, he will not agree to take my ovaries as well. I totally understand it would put me into early menopause and I would need to be on hormone replacement and I did stress to him I understood that and excepted that. Just with all my other health issues, this would take away some of them.
    Now with all that said, and sorry so long!! What are y’alls take on it? Also, after a total hysterrectomy, how much different, if any, do you feel with that area! Is intercourse different in any way all all? How much down time did you(anyone that has had it done) have? I know I can ask my doctor all this and can look it up, but I want to ask ladies that have been through it and know “first hand”!
    Thank you so very much! Again, I am sorry this is so long!!
    You story and pictures are amazing and thank you so very much for posting this for us women!!

    [Reply]

    beautifulcervix Reply:

    Check out http://www.hersfoundation.com/ for lots of info about hysterectomies and after-effects. Of course there are many reasons to have one done and it seems it is right for you. The hormones produced in your ovaries affect ALL of your body (and interplay with all the other endocrine hormones), though, not just your reproductive system, so I think your doc is trying to keep you as balanced as possible. Artificial hormones are synthetic and affect the body differently. I’m so sorry you have suffered so much – have you worked with a holistic endocrinologist or naturopath? They may be able to support you through this journey.

    [Reply]

  15. Thank you all for your comments this have help me to clear my mind about the cervix. I just want to feel better so I decided to take my uterus and cervix out, I thank God and my body parts for helping to have 3 children, and if I had just listen to my doctor 14 years ago I will have save my self years of anguish and treatment, some one tell me that it is better to take out than to put things in your body. I think the uterus gives us problems because we are not using it to have children so all this sickness of growing cyst and menstrual symptoms for 3 weeks are not worth the insanity, My sister in low said that when you body parts hurt we should talk to them and tell them that we need them( in case you want to have babies) if not just give them thanks for helping us have our babies and since they hurting we should say good bye to them. Healing our emotional wounds will help not to be afraid and continuous sickness, so I will try the 12 steps programs since i grow up in an alcoholic home. Working the program true the literature and making changes of my attitude and forgive my self and others it will help to loose the fear of making decisions. I thank God for all this and hope all of you get well soon.
    tomorrow I will contact my gynecologist to get the date for my surgery.

    [Reply]

  16. Please keep me in your prayers, I will pray for you too.
    I will be having my uterus and cervix remove and I want to be in good health again. Blessings to you all.

    [Reply]

  17. Hi,

    I’m overwhelmed by this website I’ve just found. I’m struggling to come to term with a Total Hysterectomy i had, and all i imagine in my head is a big black empty hole. Do you think it would be appropriate for this site to show, without our cervix. So much to say but find it hard. Great site though. And even without 1 i still feel i have a beautiful cervix.

    [Reply]

Leave a Reply

Your email address will not be published. Required fields are marked *