An abdominal hysterectomy is performed to remove the uterus, cervix, fallopian tubes, and (sometimes) the ovaries. During this procedure an incision will be made through your abdomen, the uterus will be removed, and then stitches or staples will be used to close the incision.

I have started my period.  Can I still have surgery?

• Yes.

How soon after the procedure will I be allowed to go home?

• You will likely spend at least 2-4 days in the hospital after surgery.

What are some common symptoms that I should expect after surgery?

• You will probably feel tired.
• You may have some pain and light vaginal bleeding.
• You may also experience headache, gas, nausea, diarrhea, or constipation.

Will I have to go home with a catheter?

• Due to swelling and inflammation, some women are sent home with a urinary catheter in place.
• If you are sent home with a catheter, you will be scheduled to come in to the office within 3-5 days to have the catheter removed.

Will I have any restrictions on my activities?

• You should not have intercourse, use a tampon, or insert anything into the vagina for at least 4-6 weeks following surgery. We typically ask that you wait until after your post-op appointment so we can check for adequate healing before you insert anything into the vagina.
• You should not drive a vehicle until you are no longer taking prescription pain medication.
• Do not lift anything heavier than 10 pounds, exercise, or do anything strenuous for 4-6 weeks. At your post-op appointment, your doctor will tell you what your long-term restrictions may be.
• You may shower, but do not take a tub bath for at least 4-6 weeks or until your vaginal discharge has completely stopped.

I am constipated.  Is this normal?  What can I do?

• Due to surgery and the medications used to control pain, constipation is common.  You may not have a bowel movement for 2-3 days following surgery.
• Start by getting plenty of water and increase your dietary fiber.
• You may use a stool softener as well.  We recommend Colace (available over-the-counter). Take 1-2 tabs at bedtime until normal bowel movements occur daily.
• If you are still unable to have a bowel movement, there are other things you can try.  Call the office for further instructions.

What can I eat or drink?

• You may eat food as tolerated. You may want to start with bland, low-fat foods.  Try to eat a healthy, balanced diet that includes foods from each food group.
• Drink plenty of water, at least eight 8oz glasses per day.  Avoid alcohol while you are recovering and/or taking pain medications.

How should I care for my incision?

• If your incision was closed with staples, you should have an appointment at the office within 5-7 days of surgery to have the staples removed.
• If stitches were used, you will have some cloth strips called “Steri-Strips” placed on your incision. Take these off after 7-10 days. If you are nervous about removing them, contact the office for further instructions. The stitches will dissolve on their own and do not need to be removed.
• You may shower, but no tub baths. Keep your incision clean by using mild soap and water.
• Keep the incision dry. Do not apply lotions, creams, alcohol, or hydrogen peroxide to your incision unless given special instructions.

When can I return to work?

• You should be able to return to work within 6-8 weeks
• You may be able to return to light duty (no lifting) as soon as 4 weeks post-surgery.  Talk to your doctor.

What symptoms should I be concerned about, and when should I call the office?

• If you have trouble breathing, shortness of breath, or chest pain you should go to the Emergency Room.
• If you notice swelling, redness, or drainage from the incision call the office for an appointment.
• If you have not had a bowel movement for more than 3-5 days and are experiencing nausea or vomiting, please call the office.
• If you have bright red vaginal bleeding that soaks one or more maxi-pads within 1 hour, call the office.
• If you are passing blood clots from the vagina, call the office.
• If you have pain that does not respond to your pain medication, fever over 100°F (38°C), or a foul smelling vaginal discharge you should call the office.