Hysterectomy.

surgical removal of the uterus.

Hysterectomy in Cincinnati OH

Hysterectomy is the surgical removal of the uterus. This is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, you may want to explore other treatment options first. For conditions that have not responded to other treatments, a hysterectomy may be the best choice.

you’re in good hands

Each year hundreds of thousands of women are told they must have a hysterectomy; in Cincinnati alone, this number is in the hundreds! This information can be very overwhelming, leaving a woman feeling scared and confused if it is the right decision to proceed with surgery. A total hysterectomy means that the uterus

and cervix are removed. In some cases, the tubes and ovaries are removed along with the uterus and cervix. This is called Total Hysterectomy with Bilateral salpingo-oophorectomy. In a Supracervical Hysterectomy, only the uterus (not the cervix) is removed.

Procedure Details

What it treats
  • Abnormal uterine bleeding (vaginal bleeding)
  • Cancer
  • Cervical dysplasia (pre-cancerous cervix condition)
  • Endometriosis
  • Uterine fibroids
  • Uterine prolapse (pelvic relaxation)
  • Pelvic Pain
  • Genes (BRCA-1, BRCA-2) that increase the risk of cancer
  • Transgender patients (female to male)
Procedure time
  • 2-6 weeks

advances in surgical technology

With advances in surgical technology, there are now several surgical options for hysterectomies. There are many factors that determine what kind of hysterectomy you can actually undergo and which one the surgeon recommends.

types of
hysterectomy
procedures

vaginal hysterectomy

Our surgeons make an incision near the top of the vagina. They reach through the incision to disconnect the blood vessels & attachments of the uterus.

 

Once the uterus is free, it is removed through the vagina. A vaginal hysterectomy is a common procedure for patients to receive.

 

laparoscopic hysterectomy

A laparoscope is used to guide the surgery. A laparoscope is a thin, lighted tube with a camera that’s inserted into the abdomen through a small incision in or around the navel. It allows the surgeon to see pelvic organs on a screen. Additional small

 

incisions are made in the abdomen for other instruments used in the surgery. The uterus is detached from inside the body. It then is removed in small pieces through the incisions, or the pieces are passed out of the body through the vagina.

Davinci Robotic-Assisted Hysterectomy

The surgeon controls the daVinci, often called a “robot” to remove the uterus through just a few tiny openings. The daVinci translates the surgeon’s hand movements into these small instruments

 

inside your body. The robot cannot act on its own. The daVinci Surgical System provides high-definition 3D vision and a magnified view of the pelvis. The benefits of this technology are less pain, less blood loss, less risk of infection, quick recovery and small incisions.

Abdominal Hysterectomy

Our surgeons do not perform this invasive procedure except in rare circumstances. Traditionally abdominal hysterectomies are performed through a large incision on the abdominal skin in order

 

to free up the attachments of the uterus and then the uterus is lifted out of the body. For obvious reasons, this procedure can be painful and have a higher risk of blood loss, infection and a longer recovery (often 6 weeks).

Process & Results

day of procedure

On the day of your scheduled hysterectomy in Cincinnati, you will arrive at the hospital a few hours before the scheduled time to meet with the anesthesia team, get an IV, receive preoperative medications and sign any paper work that is required. Your gyn surgeon will meet with you before to answer any last minute questions you may have. For most patients, the actual hysterectomy procedure takes 1-2 hours. Some patients elect to spend the night in the hospital; other patients may meet criteria for early discharge on the same day as the surgery.

Step 1 Step 2 Step 3 Step 4 Step 5 Step 6
Step 1

initial consultation

Your initial consultation with be with one of our gynecology providers for a thorough look into your past medical and surgical history, family history, and current medications, with specific attention paid to the symptoms you are struggling with.

Step 2

review the patient’s history

We will review any prior tests or treatments you have received so if you have had a prior ultrasound, recent pap smear, surgery or endometrial biopsy, please bring those records/results to your initial consultation. A pelvic exam is usually performed at this initial consultation.

Step 3

testing

Next, we may schedule other tests to further look into the reason you may be considering a hysterectomy. Some of these tests may include a pap smear, blood tests, genetic testing, ultrasound and/or endometrial biopsy.

Step 4

follow up

Depending on the testing that was ordered/scheduled, one of our gynecologic surgeons will review all your testing and discuss the appropriate next steps and the route and type of hysterectomy that would be best suited for you. We will also discuss the pros and cons of whether the ovaries should be removed at the time of the hysterectomy.

Step 5

insurance approval

Our surgery scheduler will contact your insurance company for insurance prior authorization and approval. She will contact you with insurance details and schedule the hysterectomy in Cincinnati. Our scheduler will inform you of the “logistics”of having a hysterectomy.

Step 6

post operative

Our surgeons will see you back in the office for a postoperative visit 1-2 weeks after surgery. At this time, the pathology (biopsy) reports are reviewed and ensure your recovery is going as expected.

Additional Information
Testimonials Resources
Testimonials

“I just wanted to tell everyone how amazing Dr. Amy Brenner is! I recently had a hysterectomy done by robotics. My recovery time was very quick and I had no need for pain medicine. Dr. Brenner is such a great listener, she truly hears me and takes the time to give me personal care during each visit. I have had another female gynecologist in the past, but Dr. Brenner is hands down the best physician I have ever had.”

Tracy P. (Fairfield, OH)

“I am a new patient of Dr. Brenner’s. I was having a few issues and was nervous about a few things. I called to make an appointment and was able to see Dr. Brenner the next week. As soon as I stepped into the office, I felt very at ease. You can tell they go to great lengths to make you feel comfortable.”

Anonymous

“Dr. Brenner had me come in for some tests and together we discussed my options. After getting the test results back, we agreed that surgery would be the best option. I was very happy to see how quickly it could all be scheduled and arranged. My surgery was three weeks ago and I couldn’t be happier with the results. Dr. Brenner and her staff really go beyond the call of duty to be professional and courteous and make you feel comfortable. At a time when you are really scared about what could happen, it’s really important to have people around you that care.”

Anonymous

“Thank you Dr. Brenner and company for all you do.”

Brandy M.

“About three months ago, I had a robotic-assisted abdominal hysterectomy performed by Dr. Brenner. When I was first told that I needed the procedure, I was a little surprised, but with my age and symptoms I knew that the hysterectomy was needed. When Dr. Brenner suggested that I have a robotic procedure, I was anxious and a little afraid. I looked at the video, did a little on-line research and studied the brochures I was given. After careful thought, I made the decision to ‘go for it.'”

Anonymous

“I must say that was the right procedure. I had the procedure on a Friday, was at I-Hop for breakfast by 9 AM the next morning, and back to work on Wednesday the next week. I needed no pain medicine but took a couple Tylenol the first day just because. I was driving on Sunday and shopping on Monday. I probably could have gone back to work on Monday but the time was already scheduled – so I took it.”

Anonymous

“So, if given the option to have a robotic procedure, I say again, go for it.'”

– Mollie C.

"Thank you Dr. Brenner for the successful surgical procedure. You did an amazing job using minimally invasive hysterectomy techniques that didn’t totally wipe me out. I’m getting stronger every day. I’m so glad to have you as my physician. I appreciate your knowledge and beside manner. Love the staff and office as well. Thank you for everything!"

M.M.

I found out I needed a hysterectomy, but decided to get a second opinion. I have several friends and family that recommended Dr. Amy Brenner, so I made an appointment with her. I was so impressed with my first visit with Dr Brenner. She took a lot of time with me to review why I needed the hysterectomy, details of the procedure, and how much better I would feel after having the surgery. I booked my surgery that day. I was very nervous the morning of surgery, but upon arrival at Mercy Hospital, each nurse that prep'd me spoke so highly of Dr. Brenner. I knew I was in good hands, and it really put me at ease. The surgery went very well. It's been six weeks since the procedure and I am feeling great. The recovery has been much easier than I anticipated, and had relatively little pain during recovery. I had a great experience with Dr. Brenner, and I am grateful that I found her. I would highly recommend her.

Machele M.
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