VNOTES Hysterectomy

14.05.2026 Prof. Dr. Cihan Kaya

Uterus Removal with vNOTES (vNOTES Hysterectomy) – Patient Information Guide

What is Uterus Removal with vNOTES?

vNOTES hysterectomy is a modern surgical method where the uterus is removed vaginally, without an abdominal incision.

In Which Cases Is It Performed?

• Myoma (fibroid)
• Abnormal uterine bleeding
• Adenomyosis
• Chronic pelvic pain
• Certain selected cancer conditions

How Is the Surgery Performed?

• Special instruments are inserted vaginally
• The procedure is performed with a laparoscopic camera
• The uterus is removed in a controlled manner
• No abdominal incision is made

Advantages

• No abdominal scar
• Less pain
• Faster recovery
• Shorter hospital stay

Surgery Duration and Anesthesia

It is generally performed under general anesthesia and takes an average of 1–2 hours.

Who Is It Suitable For?

• Patients with suitable vaginal anatomy
• Those seeking minimally invasive surgery
• Patients deemed suitable by the doctor

Who Is It Not Suitable For?

• Extensive intra-abdominal adhesions
• Very large uterus (relative)
• Cases where vaginal access is difficult

After Surgery

• Discharge may be on the same day or the next day
• Mild pain and discharge may occur
• A quick return to daily life is ensured

Things to Consider

• Sexual intercourse is not recommended for 4–6 weeks
• Heavy lifting should be avoided
• Doctor's appointments should not be missed

Possible Risks

• Bleeding
• Infection
• Injury to adjacent organs (rare)
• Anesthesia-related risks

Clinical Fact

vNOTES hysterectomy is a safe and effective method in suitable patients, offering high patient comfort.

Conclusion

Uterus removal with vNOTES is an important option in modern gynecological surgery, offering the advantage of scarless surgery.

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