Non-descent Vaginal Hysterectomy:

A non-descent vaginal hysterectomy (NDVH) is a type of vaginal hysterectomy that can be performed in the case of a non-prolapsed uterus. Since the surgeon removes the uterus through the natural orifice/ opening (vagina) in the body, it does not leave any visible scars.

It is for this reason that NDVH is sometimes referred to as a scarless hysterectomy or scarless surgery.

Which surgery is best for uterus removal?

Vaginal hysterectomy when technically possible is the best route for the removal of uterus as it is done through a natural opening and there are no cuts or incisions. But when the vaginal route if not technically possible, then the laparoscopic route is preferred as it involves very small incisions on the abdomen.

When the uterus is very large or if there is suspicion of malignancy, then sometimes even a laparoscopic hysterectomy may be difficult and an open surgery is preferred.

In which conditions can a non-descent vaginal hysterectomy be performed?

Your gynecologist may suggest this procedure in case of

• Heavy bleeding
• Endometriosis
• Fibroids
• Dysfunctional uterine bleeding

“A non-descent vaginal hysterectomy (NDVH) requires skill, expertise and experience to remove the uterus through the natural hole in the vagina.

Advantages of NDVH surgery

NDVH in gynaecology is a common procedure that is nearly painless and smoother than a laparoscopy.

The benefits of NDVH are:

• No stitches/scars, meaning it is a scarless surgery
• Few complications
• Short hospital stay and fast recovery
• Less pain after surgery
• Less expensive than other hysterectomies

How long does it take to recover after NDVH?

You will need to stay in the hospital for 2 days. After your hospital stay, you will be able to go back home without requiring support.

“You can resume your daily chores, walk or climb stairs as usual.”

NDVH surgery complications include risks of bleeding or infection that can be expected with any other surgery.

“In the hands of an experienced gynecologist, you should have no reason to worry.”

How do I prepare for NDVH?

• Get a pre-anesthetic check up by meeting the anesthetist with all your reports.
• Take medicine as advised by your surgeon and anesthesiologist.
• Avoid milk or food 8 hours prior to the scheduled time of surgery/procedure.
• Contact your doctor immediately if you have a cough, cold, nasal congestion, fever, vomiting, and/or any other discomfort before admission.
• Ensure you bathe with soap and water, and wash your hair with shampoo before admission. Cut your finger and toe nails.
• On the day of the surgery, avoid wearing any jewellery/make up like nail paint, eye liner.
• Bring the necessary documents on the day of admission as recommended by hospital staff.