Non-Descent Vaginal Hysterectomy (NDVH)

What is Non-Descent Vaginal Hysterectomy (NDVH)?

Non-Descent Vaginal Hysterectomy (NDVH) is a surgical procedure that involves the removal of the uterus through the vagina. Unlike traditional methods, NDVH does not require an abdominal incision, making it a minimally invasive option for women who require a hysterectomy but do not have a prolapsed uterus (i.e., the uterus hasn’t descended into the vaginal canal).

This procedure is often favored because it combines the benefits of faster recovery, fewer complications, and less visible scarring.

Why Choose NDVH?

There are several reasons why NDVH might be recommended for you. Some common conditions that may lead to a hysterectomy include:

• Fibroids: Non-cancerous growths in the uterus that cause pain, heavy bleeding, or other complications.
• Abnormal uterine bleeding: Persistent bleeding that has not responded to other treatments.
• Adenomyosis: When the inner lining of the uterus grows into the muscle layer, causing pain and heavy periods.
• Endometriosis: Where tissue similar to the lining inside the uterus grows outside the uterus, leading to severe pain and fertility issues.

NDVH is often chosen because of its numerous benefits, including:

• Minimally invasive: No abdominal incision, leading to a more cosmetically appealing outcome.
• Quick recovery: Typically, patients experience shorter hospital stays and quicker return to normal activities compared to abdominal hysterectomy.
• Less post-operative pain: The procedure is generally less painful, reducing the need for strong painkillers.
• Lower risk of complications: There’s a reduced risk of wound infection and hernia compared to abdominal procedures.
• Cost-effective: Shorter hospital stays and fewer post-operative complications can make NDVH a more economical option.

The NDVH Procedure: What to Expect

1. Pre-Operative Preparation:

   • Before your surgery, your doctor will take you through routine checks, including a pelvic exam, blood tests, and imaging if necessary.
   • You will also receive guidelines on fasting before surgery and pre-surgery medications to avoid.

2. During the Procedure:

   • NDVH is performed under general anesthesia or spinal anesthesia.
   • Your surgeon will carefully remove the uterus through the vaginal canal, without making an abdominal incision.
   • The procedure typically lasts around 1-2 hours, depending on individual circumstances.

3. Post-Surgery Recovery:

   • After the procedure, you may be monitored for a few hours in the recovery room.
   • Most women are able to go home within 1-2 days, although hospital stay can vary depending on individual recovery.
   • You can expect some vaginal bleeding, similar to a light period, and mild discomfort, but these typically resolve within a few days.

Recovery and Aftercare

The recovery period for NDVH is usually faster compared to other forms of hysterectomy. Here’s what you can expect during your recovery phase:

• Rest: It’s essential to rest for the first few days after surgery. Avoid strenuous activities like lifting heavy objects or intense exercise for at least 4-6 weeks.
• Pain management: Over-the-counter pain relievers are typically enough to manage discomfort. Always follow your doctor’s recommendations.
• Return to work: Most women are able to return to work or their regular activities within 2-4 weeks, depending on the nature of their job and individual healing.
• Sexual activity: You will need to avoid sexual intercourse for at least 6-8 weeks after the surgery, until your doctor confirms you are fully healed.