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.

23 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?

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    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.

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    mike Reply:

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

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

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    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

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  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!

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    Ieasa Reply:

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

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    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.

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  4. 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

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    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.

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  5. 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

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    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.

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  6. 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?

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

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    beautifulcervix Reply:

    Right hand column, there is a Site Translator button.

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  8. 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?

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    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.

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  9. 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.

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  10. 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!

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

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    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….

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