To understand the alternatives of Total Laparoscopic Hysterectomy (TLH), it is crucial to understand the underlying condition. Based on the condition, its progression, and symptoms doctors can offer alternative treatment options. It is important to understand that often surgical intervention is one of the best ways to avoid further progression and complications caused due to the underlying condition. 

However, given hysterectomy is an aggressive surgical procedure, it is important to take a look at other treatment options before going through TLH surgery. So, let’s take a closer look at the possible alternative non-surgical treatment options to hysterectomy. And based on your options, you can discuss with your doctors, if you should opt for laparoscopic surgery for fibroids or not.

Non-Surgical Alternatives to Hysterectomy You Should Know About

1. Watchful Waiting

Watchful waiting is done under the supervision of medical care in cases where patients are not experiencing serious symptoms of their underlying condition. Getting diagnosed with a condition doesn’t automatically make it mandatory for the patient to go through surgery. 

In some cases, if the condition is not acting up with disruptive symptoms, doctors will just keep the patient under observation. If your conditions are not showing any symptoms and don’t show signs of progression, watchful waiting can be an alternative to TLH surgery for you. 

However, you should know doctors often pair watchful waiting with physical therapy and lifestyle/dietary changes to ensure your condition can be kept in check.

2. Physical Therapy & Pain Management

Pelvic pain is a common symptom of conditions that can be treated using a TLH surgery. So, to help patients deal with the pain, doctors will often suggest they go through physical therapy and pain management first. This is done while doctors assess the condition, its stage, and severity.

Physical therapy for pelvic pain will often include physical exercises like kegel exercises to strengthen your pelvic floor. Similarly, pain management using pain medication can be another effective way of managing pelvic pain temporarily.

Based on the diagnosis, doctors can offer other medical management options to you or they might recommend going for other non-surgical treatment options.

3. Lifestyle & Dietary Changes

Lifestyle and dietary changes work hand in hand with pain management as certain food items or lifestyle habits can help with pelvic pain while others can exaggerate it. Having a healthier diet, maintaining a healthy body weight, and managing your stress levels can help you manage and control some gynaecological symptoms.

Doctors may suggest that you avoid having processed food as much as possible. This might help with your pelvic pain and other symptoms. Similarly, doctors will recommend you to exercise and cut down on smoking and alcohol intake to help with your symptoms.

4. Focused Ultrasound

High-intensity focused ultrasound (HIFU) is another commonly used non-invasive treatment used alternative to hysterectomy in some cases. This treatment method uses high-powered ultrasound frequencies to destroy abnormal tissues and uterine fibroids. The ultrasound frequencies generate heat, which is used to melt and destroy the abnormal tissues, without the need for invasive procedures.

This type of procedure has very few risks involved as it is a completely non-invasive procedure. Even in cases where the abnormal tissue growth is extensive, doctors can recommend you to go for this procedure multiple times. You can get advanced procedures like this easily at MASSH. Feel free to ask your doctors about possible treatment options after diagnosis, and they will guide you through the options.

5. Hormone Therapy

Hormone therapy is effective in managing several gynaecological problems that could lead to patients having to get a hysterectomy. Based on your diagnosis and if your conditions have been diagnosed at early stages, hormone therapy can be very effective in completely treating your condition.

Hormone therapy uses medicines and medical devices such as IUDs, hormonal birth control pills, and GnRH agonists to help with conditions like heavy menstrual bleeding, endometriosis, and uterine fibroids. If you want to avail hormone therapy treatment options, it is best for you to go for screening tests regularly. This will help you ensure any underlying problems are diagnosed at an early stage.

6. Myomectomy

Myomectomy is a great treatment option for patients who want to preserve their fertility. Contrary to hysterectomy, myomectomy doesn’t remove the uterus entirely from the body. It only removes the abnormal tissue growth or the uterine fibroids. The procedure can be performed both as an invasive surgery or as a non-invasive procedure.

If you opt for the non-invasive treatment, the surgery is performed by entering your body through the vagina. The abnormal growth is removed surgically using laparoscopic surgical tools. This type of surgery requires extreme precision and an experienced surgeon to perform perfectly. If you are interested in Myomectomy, visit MASSH for the best non-invasive procedure performed by the most experienced surgeons.

7. Endometrial Ablation

Endometrial ablation is another non-invasive treatment option alternative to hysterectomy. This non-invasive procedure can be performed in different ways with the goal of destroying the uterine lining. This procedure is especially useful for patients going through heavy menstrual bleeding. Lasers, radio frequencies, and other methods like thermal ablation are used to remove the endometrial lining without using any invasive procedure.

This procedure is relatively safe and can even be performed multiple times if required. To learn more about endometrial ablation, ask your doctor if this treatment is suited for your underlying conditions or not.

8. Laparoscopic Procedures

Laparoscopic procedures are invasive, but they are safer and have a much quicker recovery compared to open surgery. Plus, these surgeries have lower risks of post-surgical complications. Laparoscopic procedures can also preserve your fertility as only the abnormal growths are removed in such procedures.

Specialised surgical tools are used for these surgeries, which are inserted into the surgery site using small incisions no larger than a few centimetres. MASSH specialises in laparoscopic surgeries and offers specialised minimally invasive surgeries for conditions like ovarian cysts and endometriosis.

Conclusion

These are some of the best alternatives to hysterectomy. Feel free to talk to your doctors about these alternatives as they can help you preserve your fertility while also easing the recovery process significantly. If you want to avail the best laparoscopic and non-invasive treatment options discussed in this article, feel free to visit us at MASSH. Our expert care services can help you get the best diagnosis and treatment to treat any underlying condition and its corresponding symptoms.