Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Laparoscopy · Hysterectomy
Total Laparoscopic Hysterectomy (TLH)
Complete uterine removal performed laparoscopically – the gold standard for hysterectomy in most benign conditions.
Indications
When hysterectomy is needed
Severe symptomatic fibroids, persistent heavy menstrual bleeding unresponsive to medical management, adenomyosis with severe symptoms, endometriosis with severe pelvic pain (after fertility considered), or other specific gynaecological indications.
Procedure
TLH technique
Complete laparoscopic dissection, ureter identification, vessel sealing, vaginal cuff closure laparoscopically. Bladder and bowel preservation. Ovary preservation in pre-menopausal women unless specifically indicated.
Recovery
After hysterectomy
Hospital stay typically 1-2 days. Return to office work 2-3 weeks. Avoid heavy lifting and intercourse for 6 weeks. Long-term fitness and quality of life are usually excellent.
Common questions
Frequently asked
Will hysterectomy affect my hormones?
If ovaries are preserved, hormonal function continues. If ovaries are also removed (oophorectomy), hormonal effects depend on age. Pre-menopausal oophorectomy requires HRT discussion.
Will sex be different after hysterectomy?
Most women report improved or unchanged sexual function due to relief of symptoms. The vaginal length and elasticity are preserved.
Is hysterectomy reversible?
No – hysterectomy is permanent. We discuss all alternatives (medical management, conservative surgery, uterine artery embolisation) thoroughly before recommending hysterectomy.
★★★★★5.0 · 282 Verified Google Reviews
Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
Balaji Horizon Women Hospital
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Balaji Women Clinic (AEC)
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
