Endometrial Cancer Surgery
Endometrial Cancer Surgery Treatment

Endometrial cancer surgery typically involves the removal of the uterus, and in many cases, the ovaries and fallopian tubes as well. This procedure is known as a hysterectomy with bilateral oophorectomy. When uterine cancer is diagnosed, the primary goal of surgery is to eliminate the cancerous tissue, reduce the risk of recurrence, and prevent the cancer from spreading further. By removing both the uterus and ovaries, doctors can effectively target the most common sites where endometrial cancer might originate or spread. This approach is particularly recommended for patients with localized cancer or those at high risk of recurrence, as it offers the best chance of long-term survival.
The removal of the uterus and ovaries is a critical step in treating endometrial cancer, especially in cases where the cancer is at an advanced stage or there is a high risk of it spreading. Ovaries produce estrogen, which can fuel the growth of certain types of endometrial cancers. By removing these hormone-producing organs, doctors reduce the chances of the cancer returning or growing after the surgery. Additionally, the removal of the fallopian tubes may also help prevent the spread of cancer cells, as these organs are often in close proximity to the uterus. This comprehensive surgical approach significantly improves survival rates, especially when combined with other treatments like chemotherapy or radiation.
Following surgery for endometrial cancer, including the removal of the uterus and ovaries, recovery time can vary. Most patients can return to normal activities within six to eight weeks, although they may experience symptoms of early menopause due to the sudden drop in hormone levels. This can include hot flashes, mood swings, and vaginal dryness. Hormone replacement therapy (HRT) is often recommended to manage these symptoms, especially for younger women who have undergone oophorectomy. Regular follow-up visits are essential to monitor for any signs of cancer recurrence and ensure that the patient is recovering well. The emotional and physical aspects of recovery are just as important as the medical treatment, requiring a supportive approach throughout the healing process.
- Your 6 - Phase health Process
Your Complete Endometrial Cancer Surgery Journey
🩺 Phase 1: Pre-Surgery Evaluation
- Review of overall health and cancer stage.
- CT, MRI, ultrasound for cancer spread.
- Check liver, kidney function, and tumor markers.
- Discuss surgery, risks, and recovery.
🔬 Phase 2: Anesthesia and Surgical Preparation
- Decide on general anesthesia.
- Setup for fluids and medications.
- Clean the surgical area.
- Administer antibiotics or other necessary drugs.
📝 Phase 3:Surgical Procedure
- Removal of the uterus.
- Removal of ovaries and fallopian tubes.
- Lymph node removal to check for spread.
- Remove additional tissues if cancer has spread.
🔧 Phase 4: Intraoperative Care
- Track vital signs and anesthesia.
- Manage blood loss during surgery.
- Ensure continuous effect of anesthesia.
- Blood transfusion if necessary.
💊 Phase 5: Post-Surgery Recovery
- Monitor until anesthesia wears off.
- Control discomfort with pain medication.
- Encourage light activity to avoid clots.
- Discuss home care and recovery steps.
💪 Phase 6: Follow-Up & Ongoing Care
- Monitor for complications during check-ups.
- Look for cancer recurrence signs through tests.
- Consider chemotherapy or radiation if needed.
- Offer emotional and nutritional guidance for long-term recovery.
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- Frequently Asked Questions
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Endometrial cancer surgery typically involves the removal of the uterus, ovaries, fallopian tubes, and sometimes other surrounding tissues to treat uterine cancer. It aims to eliminate cancer and reduce the risk of recurrence.
The surgery carries risks such as infection, bleeding, blood clots, damage to nearby organs, and complications from anesthesia. Your healthcare team will discuss these risks before the procedure.
Recovery usually takes 4 to 6 weeks, but this may vary depending on the complexity of the surgery and your overall health. You’ll need rest, gradual physical activity, and follow-up care during this period.
Chemotherapy or radiation may be recommended depending on the cancer’s stage and whether it has spread. Your doctor will discuss further treatment options based on your individual situation.
If both the uterus and ovaries are removed, fertility will be affected. If only part of the uterus is removed, fertility may be preserved. Discuss fertility options with your doctor before surgery if this is a concern.