Hysterectomy ± Salpingo-oophorectomy
Surgical removal of the uterus — with or without the fallopian tubes and ovaries — offers definitive treatment for severe endometriosis, fibroids, adenomyosis, and other refractory gynaecological conditions.
What is Hysterectomy ± Salpingo-oophorectomy?
Hysterectomy is the surgical removal of the uterus, and when indicated, the fallopian tubes and ovaries are removed simultaneously (salpingo-oophorectomy). It is performed for severe, refractory endometriosis, adenomyosis, large or multiple fibroids, and other conditions where fertility preservation is not required and conservative measures have failed. Dr. Ashwani Narla performs hysterectomy laparoscopically where possible at Lux Hospitals, Hyderabad, minimising recovery time and surgical morbidity while delivering definitive symptom relief.
Suitable for women with severe, refractory gynaecological conditions — including endometriosis, adenomyosis, or fibroids — who have completed their family and have not responded adequately to conservative surgical or medical management.
How the Procedure Works
Anaesthesia & Preparation
General anaesthesia is administered. The patient is positioned and laparoscopic or open access is established based on the planned surgical approach.
Uterine Vessel Ligation
The uterine arteries and supporting ligaments are carefully ligated and divided, securing haemostasis before the uterus is mobilised.
Uterine Removal
The uterus is detached from the vaginal vault and removed — laparoscopically via a bag or through the vagina, or through an abdominal incision in open cases.
Salpingo-oophorectomy (if indicated)
If indicated, the fallopian tubes and ovaries are removed at the same stage, with careful ligation of the infundibulopelvic ligament vessels.
Vault Closure & Recovery
The vaginal vault is closed securely. Drains are placed if required. Recovery in hospital is two to four days with graduated return to full activity.
Outcomes
Who Needs This Treatment?
- →
Provides permanent, definitive relief from symptoms of endometriosis, adenomyosis, and fibroids
- →
Eliminates heavy, painful periods completely and permanently
- →
Laparoscopic approach minimises scarring and speeds recovery
- →
Concurrent salpingo-oophorectomy addresses ovarian disease in the same procedure
- →
Well-established procedure with a strong evidence base and high patient satisfaction
- →
Removes the source of hormonal stimulation in oestrogen-driven conditions
Hysterectomy is never a first step — but when it is the right step, it is truly life-changing. Eliminating years of debilitating pain and bleeding gives women their lives back completely.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Hysterectomy ± Salpingo-Oophorectomy Cost in Hyderabad
The cost of hysterectomy with or without salpingo-oophorectomy in Hyderabad depends on the underlying condition, severity of symptoms, extent of pelvic disease, surgical complexity, diagnostic investigations, and post-operative care. Hysterectomy involves removal of the uterus, while salpingo-oophorectomy involves removal of one or both fallopian tubes and ovaries when clinically indicated. This combination may be considered in selected patients with severe or refractory endometriosis, adenomyosis, or other conditions when childbearing is complete. For severe refractory PMDD, hysterectomy with bilateral salpingo-oophorectomy is generally considered only in highly selected cases after other appropriate treatments have been unsuccessful. The estimated cost ranges from ₹1,50,000 to ₹3,00,000, with an average cost of approximately ₹2,25,000.
| Procedure | Approximate Cost Range |
|---|---|
| Severe, refractory, family complete | ₹1,50,000 ₹3,00,000 |
| Definitive treatment, family complete | ₹1,50,000 ₹3,00,000 |
| Hysterectomy with Bilateral Salpingo-Oophorectomy, Severe refractory PMDD, last resort | ₹1,50,000 ₹3,00,000 |
The actual treatment cost may vary depending on the patient's condition, extent of endometriosis or adenomyosis, ovarian and tubal involvement, uterine size, previous pelvic or abdominal surgeries, diagnostic investigations, surgical approach, anesthesia, hospital stay, medications, and any additional procedures required. Whether the ovaries and fallopian tubes need to be removed is determined based on the individual clinical situation and should not be assumed for every hysterectomy.
For PMDD, hysterectomy with bilateral salpingo-oophorectomy is an irreversible treatment that causes permanent loss of fertility and surgical menopause. It is generally considered only after appropriate medical and specialist evaluation, particularly when severe symptoms remain despite other treatments and there is a clear clinical rationale.
Factors Affecting Hysterectomy ± Salpingo-Oophorectomy Cost
The overall cost can differ considerably between patients because the procedure may involve removal of the uterus alone or additional removal of one or both fallopian tubes and ovaries. The extent of disease and the complexity of surgery also influence the resources required for treatment and recovery.
- →
Underlying condition: Endometriosis, adenomyosis, or another condition may require different levels of evaluation and surgical planning.
- →
Severity and extent of disease: Deep or extensive endometriosis, pelvic adhesions, or involvement of surrounding structures may increase surgical complexity.
- →
Ovarian and tubal involvement: The need for salpingectomy or oophorectomy depends on the condition of the tubes and ovaries and the clinical objectives of surgery.
- →
Uterine size and anatomy: An enlarged uterus, fibroids, or other anatomical factors may affect the surgical approach
- →
Pre-operative evaluation: Pelvic examination, imaging, blood tests, and other investigations may be required before surgery.
- →
Surgical approach: Vaginal, laparoscopic, robotic-assisted where available, or abdominal approaches may be considered depending on the patient's condition and clinical suitability.
- →
Previous surgeries and adhesions: Prior abdominal or pelvic surgery can result in adhesions and may make the procedure more complex.
- →
Anesthesia and hospital stay: Operating-room charges, anesthesia, admission, monitoring, and recovery care contribute to the total cost.
- →
Additional procedures: Treatment of associated endometriosis, adhesions, ovarian or tubal conditions, or other pelvic problems may increase the final expense.
- →
Post-operative care: Medicines, follow-up consultations, monitoring, and recovery-related treatment can also affect the overall cost.
Insurance Coverage for Hysterectomy ± Salpingo-Oophorectomy
Hysterectomy with or without salpingo-oophorectomy may be covered by health insurance when it is medically necessary for a covered condition. Coverage depends on the diagnosis, reason for surgery, policy terms, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Coverage for procedures involving removal of the ovaries or treatment related to PMDD may have additional policy considerations. Patients should confirm their benefits and cashless eligibility with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with endometriosis, adenomyosis, menstrual disorders, and other gynecological conditions. During consultation, she reviews symptoms, menstrual and reproductive history, previous treatments, medical and surgical history, examination findings, and relevant diagnostic reports. When hysterectomy is being considered, she assesses the severity and extent of the condition and discusses whether removal of the uterus is appropriate based on the patient's clinical situation and reproductive plans. If removal of the fallopian tubes or ovaries is being considered, the decision is made according to the condition of the affected organs and the intended treatment goals. For patients with severe PMDD, consultation involves careful review of symptom patterns, previous medical management, and other appropriate treatment options before considering an irreversible surgical approach. Where surgery is considered, the doctor discusses the procedure, potential consequences of removing the ovaries, expected recovery, possible additional treatment, and estimated cost.
Consultation with Dr. Ashwani Narla Consultation with Dr. Ashwani NarlaCommon Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Ashwani Narla and get a personalised treatment plan.