Cervical Cancer In Women Who Have Had A Hysterectomy – The hysterectomy represents the surgical removal of the woman uterus, because of the invasion of cervical cancer. This procedure creates a huge controversy because of the fact that it became the second most common major operation that is performed by doctors in the United States today ( the first most common surgical intervention performed in the US today is the cesarian section.
The number of women who are the subject of hysterectomy intervention is impressive, approximately 600,000 American women have this surgical intervention every year, and the total cost of those interventions is equal to 5 billion dollars. The statistic is very concerning in the USA, one woman of three suffering by hysterectomy by the age of 60.
Statistics on the number of hysterectomies performed on women each year is a little better in European countries then the one in the USA. For example, American doctors perform a hysterectomy on women twice as likely as doctors from England and four times as likely as Swedish doctors, meanwhile the French doctors almost never perform a hysterectomy for fibroids.
These significant differences are determined by physician training, cultural attitudes, the ability to pay for care, the availability of elective surgery in a particular country, etc. But no matter what the right might be, the number of hysterectomy surgeries performed in USA is high. Some specialists consider that only 10% of the hysterectomy cases performed on women are necessary, meaning only the one performed for cancer and that the hysterectomy should not be performed for other gynecological problems.
The types of hysterectomy are:
total hysterectomy – usuallyperformed for cervical cancer and concernes the entire uterus and the cervix.
subtotal hysterectomy – represents the removal of the upper body of the uterus and the cervix remains in its place connected to the top of the vagina.
supracervical hysterectomy– The hysterectomy can be performed for gynecological problems other than cervical cancer such us uterine fibroids, abnormal bleeding, or pelvic pain and each person may decide if the cervix to be removed or not.
Some women feel that the removal of the cervix diminishes the sexual enjoyment, but others say that it didn’t influence their sexual enjoyment.
The hysterectomy can be performed in 3 different ways:
- abdominal hysterectomy
- vaginal hysterectomy
- laparoscopic hysterectomy
Even if the women have had a hysterectomy should do the Pap smear test for cervical cancer. After the removal of the cervix the smears are more accurate and known as “vaginal cuff” smear. This is done in order to detect whether the cervical cancer has reinstalled on the surgical area where the cervix has been removed or not. Women who have suffered a supracervical hysterectomy intervention should also do the Pap smear test because the cervix remains in its place and may fallow the same screening guidelines as women who never suffered this intervention.
Women that should not do the Pap smear test are women who have suffered a vaginal hysterectomy or abdominal hysterectomy for other medical reasons than the cancer.