WOMENS-HEALTH Messages for January, 1998: Re: Hysterectomy Pre-Operative Consultation

Re: Hysterectomy Pre-Operative Consultation

From: Kelly (anonymous@obgyn.net)
Fri, 2 Jan 1998 19:14:41 -0600 (CST)

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At Wed, 31 Dec 1997, Diane wrote: >
>Hello,
>
>On 1/5/98 I have a surgery consultation appointment with my OBGYN (who
>I've seen twice and very briefly). She seems competent and Board
>Certified.
>
>The reason for the surgery is profuse bleeding during menstruation
>w/huge clots, fibroids and a retroverted uterus causing major discomfort
>since the age of 10.
>
>What I DO know is that she is going to attempt a vaginal procedure and
>leave in my ovaries.
>
>I have a good attitude about the upcoming surgery but I am seeking
>advice on what type of questions to ask the doctor on Monday.
>
>I am especially concerned with the amount of pain I will feel upon
>awakening from surgery.
>
>Any advice will be greatly appreciated.
>
>Thank You,
>
>--
>Diane
>
>HAPPY NEW YEAR !

Congtarulations on the good attitude about the surgery -- if you go into it wiht the thought that you are going to do well, you *will* have a better recovery; the mind is a very powerful thing.

Here's my advice re:questions to ask during the pre-op:

-- what are my alternatives to a hysterectomy? Why are you recommending a hysterectomy over these other treatments?

--what are the risks of the surgery? (the answer should include anesthesia, bleeding, infection, damage to the other "stuff" around the uterus, among others and should be very extenively discussed)

-- what are the odds you'll be able to do the surgery vaginally? (this depends on lots of factors, such as the size of the uterus, the roominess of your vagina and the experience of the surgeon. I always tell my patients that when I do laparoscopic or vaginal surgery there is a chance I may have to open her up for technical reasons or complications)

--how long will I be in the hospital? What can I expect when I wake up? What will I get for pain?

-- what about after the surgery? Whan can I go back to work?have sex? drive a car?

--will you talk to my family after the surgery and tell them what went on?

-- have you done a lot of surgeries like mine?

Best wishes for a successful surgery and a speedy recovery. >

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

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