Why would the cervix be left in place during a partial hysterectomy? #306/15

Q         Can you please educate me abut why a cervix would be left in place during a partial hysterectomy?  Is there a medical benefit?  Why not just do a total hysterectomy?

Great website!  Keep up the good work.

Women’s health NP

A:        I have asked Dr. Miriam Zieman to indicate several reasons the cervix might not be removed at the time of a hysterectomy.  I will get back to you soon.

Quote from Dr. Zieman:

“The literature has been controversial as to whether there is any real benefit to a subtotal hysterectomy.  Among the reasons people request it is to (a) preserve normal vaginal anatomy without potential for vaginal scarring, (b) preserve sexual function, (c) preserve pelvic support and continence.  There may be more reasons.”

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

Mimi Zieman, MD

Clinical Associate Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA 

To learn more about the advantages and disadvantages of sterilization, go to: www.managingcontraception.com.   You can order all of these books listed below from our website or by calling 404-875-5001. 

choices_2013_Eng       Managing Contraception Cover Only 2015

Key Words:  partial hysterectomy, cervix, controversial, vaginal anatomy, scarring, sexual function, support, medical benefits 

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Contraceptive Technology 20th edition

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