Vnotes Normal Delivery

Normal Vaginal Delivery After vNOTES – Patient Information Guide

General Information

One of the most frequently asked questions by patients after vNOTES surgery is whether they can have a normal vaginal delivery in the future. This depends on the type of surgery performed.

Is Pregnancy Possible After vNOTES?

Yes, pregnancy is possible after many vNOTES surgeries. Especially if the uterus has been preserved (e.g., cyst surgery, myoma surgery), patients can plan for pregnancy.

Is Normal Vaginal Delivery Possible?

• If the uterus is preserved: Normal vaginal delivery is possible in most cases
• If myoma surgery was performed: The decision is made based on the location and depth of the myoma
• Doctor's evaluation is necessary

In Which Cases Might a Cesarean Section Be Necessary?

• If the uterine wall was deeply incised
• If a large myoma was removed
• If there is a risk to uterine integrity

If the Uterus Has Been Removed (Hysterectomy)

If the uterus has been removed, pregnancy is not possible, and therefore, childbirth is not an option.

From a Pelvic Floor Perspective

Vaginal delivery after vNOTES is generally safe. However, pelvic floor strength and previous surgeries should be taken into consideration.

When Should Pregnancy Be Planned?

• It is generally recommended to wait 3–6 months after surgery
• Planning should be done after a doctor's check-up

Clinical Reality

The decision regarding the mode of delivery after vNOTES is individualized and determined according to the surgery performed.

Conclusion

Normal vaginal delivery is possible for many patients after vNOTES surgery. However, the most accurate decision is made by the doctor based on the patient's condition.