What to expect from radical hysterectomy for uterine sarcoma

A radical hysterectomy removes the uterus and cervix and may include nearby tissues and supporting structures. The surgeon may also assess or remove lymph nodes, depending on imaging, examination, and the suspected spread of the sarcoma. The ovaries and fallopian tubes may be discussed separately because the decision depends on your age, tumour features, and treatment plan.

After surgery, pain, tiredness, abdominal swelling, and changes in bowel or bladder function can occur. A urinary catheter and wound dressings are common at first. Your team will check the surgical specimen and use the findings to plan any further treatment.

Before admission, give the team a complete list of medicines, supplements, allergies, and previous operations. Arrange help with meals, shopping, transport, and lifting at home. Follow instructions about eating, drinking, bowel preparation, and medicines exactly.

At home, keep the wound clean and follow bathing instructions. Walk short distances as advised, increase activity slowly, and avoid heavy lifting or vaginal intercourse until your surgeon confirms healing. Keep follow-up appointments even if recovery feels smooth; they allow review of pathology, wound healing, and symptoms.

Contact your surgical team promptly for fever, worsening pain, redness or drainage from the wound, repeated vomiting, inability to pass urine, or heavy vaginal bleeding. Seek emergency care for sudden chest pain, severe breathlessness, fainting, or a painful swollen leg, which can signal a serious complication.

Ask which organs and lymph nodes are expected to be removed, whether fertility and hormone effects apply to you, how long activity restrictions may last, what pain relief is suitable, and when pathology results and the next treatment discussion will happen.