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Hysterectomy Scars

For women, hysterectomies are the second most common surgery in America. By age 60, one out of three women will have had some form of hysterectomy. A hysterectomy is a surgical procedure primarily performed to remove the womb (uterus) when there are medical complications. There are three main types of hysterectomies: Complete (total), Partial, and Radical.

Complete or Total: This is the most commonly performed Hysterectomy. A complete hysterectomy removes both the cervix as well as the uterus.

Partial, subtotal or supracervical: This less serious type of hysterectomy whereby the surgeon removes only the upper portion of the uterus while leaving the cervix in place.

Radical: This is the most serious type of hysterectomy. This form of hysterectomy is usually performed as a result of the development of cancer. A radical hysterectomy removes the uterus, cervix, the tissue on both side of the cervix, and the upper part of the vagina.

What are the different methods used to perform hysterectomies?
Depending on your health and the reason for your surgery, there are different methods used to perform your hysterectomy.

• Abdominal hysterectomy. This is done through a 5- to 7-inch incision (cut), in the lower part of your belly and it is the most common type of hysterectomy, accounting for approximately 65% of all procedures. The cut will be either horizontal or vertical on your abdomin just above your pubic hair.  This type of surgery has a longer recovery time due to the level of invasiveness and leaves a very visible scar.


• Vaginal hysterectomy. This method is performed through a cut in the vagina. The doctor will remove your uterus through this incision and close it with stitches leaving no visible scar.


• Laparoscopic (lap-uh-ro-SKOP-ik) hysterectomy. A laparoscope is an instrument with a thin, lighted tube and small camera that allows your doctor to see your pelvic organs. Your doctor will make three to four small incisions in your belly and insert the laparoscope with the necessary instruments for surgery. He or she will cut your uterus into smaller pieces and remove them through the incisions.  The scars will be significantly smaller but will be visible.


• Laparoscopically assisted vaginal hysterectomy (LAVH). Your doctor will remove your uterus through the vagina. The laparoscope is used to guide the procedure.  There will be a small incision created and it will be closed with stitches leaving no visible scar. 

As you can see from above, not all hysterectomies will produce a scar.  However, the majority of hysterectomies will produce some type of visible scar.  While the external scar will naturally diminish over time, it will always remain unless it is treated. While there are many scar management treatments available on the market, those that are silicone-based tend to be the most effective.  Silicone gel is easily applied to the tender hysterectomy scar area and, once dried it becomes a completely invisible barrier providing moisture and protection without the worry of staining your clothes. It will help to diminish the appearance of the hysterectomy scar as well as helping to combat the itchiness and irritation that often accompanies it.