With over 15 years of experience, Dr. Liew Kean Chiew is the best gynecologist in Penang, Malaysia. He is currently deployed as a consultant at Pantai Hospital Penang. Dr. Liew has completed his bachelor's degree in medicine from the University of Malaya in 2004. After which he started his training in Obstetrics and gynecology at Hospital Ipoh in 2009 and worked as a master trainee at Hospital HUSM. He received his master’s degree MMed in University Sains Malaysia in 2013. He is a specialized gynecologist and obstetrician with expertise in Endometriosis Surgery, therapeutic Hysteroscopy, Uterine Fibroid Embolization (UFE), Blocked Fallopian Tube Treatment, Oophorectomy, hysterectomy, etc. He was certified in the field of Obstetrics and gynecology in 2016 by the National Specialist Registry.
Hysterectomy
The procedure of surgically removing the uterus is called as hysterectomy. The reasons for surgery can be many leading from abnormal bleeding to uterine cancer. The surgery results in the end of menstruation and the ability to conceive. The severity of the disorder can also result in the removal of other organs like the ovary or fallopian tube through Hysterectomy.
Reasons for performing Hysterectomy
Hysterectomy being a process of permanent removal of the uterus is often the least preferred treatment of female reproductive or menstrual disorders. Some of the reasons for performing a hysterectomy can be:
- Pelvic pain due to uterus which is not being treated by other treatments
- Abnormal bleeding not being cured through other treatments
- Large in size and no. of fibroids in the uterus which cannot be removed by myomectomy
- Severe endometriosis(uterine tissue growing outside the uterus
- Prolapse of the uterus into a vaginal canal might be causing urinary incontinence or difficulty with bowel movement.
- Cervical or uterine cancer or abnormalities that are severe enough to lead to cancer.
Types:
The type of hysterectomy recommended by the doctor depends upon the severity of the abnormalities. The surgeon can recommend to all or some parts of the uterus. The three types of hysterectomy are:
- Supracervical hysterectomy: In this removal of upper part of uterus is performed by the surgeon and the cervix is kept in place.
- Total hysterectomy: In this removal of whole uterus and cervix is performed by the surgeon
- Radical hysterectomy: In radical hysterectomy whole uterus is removed in addition to tissues on the side of uterus, cervix, and top part of the vagina.
Procedure:
- Before the surgery your blood and urine test is taken, abdominal hair may be clipped and an intravenous tube is placed in the vein of the arm to deliver medicines and fluids.
- An anesthesiologist will give you general anesthesia or regional anesthesia
- The uterus is removed surgically through an abdominal incision by the surgeon. The type of surgery depends on the reason for your surgery. Radical hysterectomy is only performed in case of cancer.
- The surgeons sometimes use a laparoscope that helps them view the uterus and perform the surgery.
- The surgery normally lasts for three hours.
Results:
After the surgery, you will feel relieved of the symptoms. Menstruation will completely stop. You might occasionally bloated or have symptoms similar to menstruating. The incision discomfort may last from few weeks to months.
Takeaway
Hysterectomy is performed as the last resort of treatment for female reproductive issues. After the surgery women have to follow a specific diet and rest for few weeks. For detailed consultation and treatments, you can contact Dr. Liew Kean Chiew, gynecologist, and obstetrician, at Pantai Hospital Penang, Malaysia.
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