Care after Radical Hysterectomy for Endometrial Cancers

Radical hysterectomy is commonly performed for gynaecological cancers, including:

• Uterine (Endometrial) Cancer
• Cervical Cancer
• Ovarian Cancer

During a radical hysterectomy, the surgeon removes the uterus, cervix, both ovaries, and fallopian tubes to effectively treat the cancer.

Types of Radical Hysterectomy

There are two surgical approaches for performing a radical hysterectomy:

1. Minimally Invasive Surgery

• Laparoscopic (Keyhole) Surgery
• Robotic-Assisted Surgery

2. Open Surgery

• Traditional open abdominal surgery

Many patients benefit from laparoscopic or robotic radical hysterectomy, experiencing:

• Faster recovery
• Less postoperative pain
• Reduced blood loss
• Smaller scars
• Earlier return to normal activities

Patient testimonials also highlight the positive outcomes and improved quality of life following minimally invasive surgery.

Recovery After Radical Hysterectomy

Recovery depends not only on the surgical technique but also on proper postoperative care. A multidisciplinary team including your surgical oncologist, oncology nurse, nutritionist, and physiotherapist plays an important role in helping you recover safely and comfortably.

Below are answers to some frequently asked questions.

How long should I rest after a radical hysterectomy?

A. Complete bed rest is not recommended. Patients are encouraged to gradually resume light daily activities according to their comfort level.

• Gentle household activities can usually be resumed over the first 2 weeks.
• Daily morning walks of 1–2 km are generally encouraged, depending on recovery.
• Patients undergoing laparoscopic or robotic surgery often recover faster and return to their normal routine sooner.

How much water should I drink after surgery?

A. Adequate hydration helps reduce the risk of urinary tract infections after surgery.

It is generally recommended to drink 2.5–3 litres of water per day, unless advised otherwise by your treating doctor.

What diet should I follow after surgery?

A. A healthy, balanced diet supports healing and helps prevent constipation.

Recommended dietary advice includes:

• Eat a high-fibre diet
• Include plenty of fresh fruits and vegetables
• Stay well hydrated
• Resume your regular diet approximately 5 days after surgery, as advised by your surgeon

When can I return to my normal daily activities?

A. Recovery varies from patient to patient.

General recommendations include:

• Avoid heavy lifting and strenuous work for at least 4 weeks.
• Mild stretching, pelvic floor exercises, and gentle yoga may be started after about 2 weeks, depending on your recovery and your surgeon’s advice.
• Follow your doctor’s instructions before resuming exercise or physically demanding activities.

Expert Postoperative Care Matters

A smooth recovery after radical hysterectomy depends on expert surgical care, proper nutrition, physiotherapy, and regular follow-up. Following your surgeon’s advice can help reduce complications, promote healing, and support a quicker return to your everyday life.