Non-Descent Vaginal Hysterectomy

Non-Descent Vaginal Hysterectomy (NDVH) may sound like a lot, but it's a medical procedure designed to address certain gynaecological conditions in a less invasive way. 

Let’s unpack what NDVH is, how it works, and what it means for women's health.
What is Non-Descent Vaginal Hysterectomy (NDVH)?

Non-Descent Vaginal Hysterectomy (NDVH) is a surgical procedure used to remove the uterus through the vagina without causing it to descend. It’s a type of hysterectomy, which is the surgical removal of the uterus, but it differs from traditional methods where the uterus is pulled out through an incision.

How Does NDVH Work?

During NDVH, the surgeon accesses the uterus through the vaginal canal and separates it from surrounding tissues and ligaments. The uterus is then carefully dissected and removed in small sections through the vagina. Unlike other types of hysterectomy where the uterus is pulled downward and sometimes removed through an abdominal incision, NDVH avoids this descent, hence the name “non-descent."

Why is NDVH Performed?

NDVH may be recommended for various gynaecological conditions, including:

• Uterine Prolapse: NDVH can be an effective treatment for uterine prolapse, a condition where the uterus descends into the vaginal canal due to weakened pelvic floor muscles.
   
• Fibroids: For women with symptomatic uterine fibroids (non-cancerous growths in the uterus), NDVH may offer a less invasive alternative to traditional hysterectomy.
   
• Endometriosis: In cases where endometriosis (a condition where tissue similar to the lining of the uterus grows outside the uterus) affects the uterus, NDVH may be considered as part of the treatment plan

Benefits of NDVH:

• Minimally Invasive: NDVH is considered a minimally invasive procedure compared to abdominal hysterectomy, as it does not require a large abdominal incision.
   
• Faster Recovery: Since NDVH is less invasive, recovery time is often shorter compared to traditional hysterectomy methods. Patients may experience less pain and discomfort post-surgery.
   
• Preservation of Pelvic Floor Function: NDVH aims to preserve the integrity of the pelvic floor muscles, which can be important for maintaining urinary and bowel function.

Conclusion:
Non-Descent Vaginal Hysterectomy (NDVH) offers a less invasive approach to hysterectomy for certain gynaecological conditions. By avoiding the descent of the uterus through the vaginal canal, NDVH aims to provide effective treatment while minimizing discomfort and facilitating a quicker recovery for patients. 

If you're considering NDVH or have been recommended this procedure, be sure to discuss any questions or concerns you may have with Dr. Devanshi Mishra to make an informed decision about your healthcare.