What Causes Lower Pelvic Pressure After Hysterectomy?

Posted on Mon, 5 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 5 Jan 2015 Answered on

Fri, 23 Jan 2015 Last reviewed on

Question : I had a hysterectomy (cervix, hysterectomy, ovaries removed) 1.2 years ago for atypical complex hyperplasia
I just recently started experienced lower pelvic pressure, spotting and cramping again.
I just found out that there was a medical alert for a "morcellation" device used in laparoscopic surgeries-concern that slicing the tissue to make it small enough to fit through the incision site can spread unknown cancer around. So my new question is, if my precancerous uterus was not sliced and only clipped and pulled out vaginally, does that decrease my risk of potential cancer being spread? Could those precancerous cells have migrated to cancerous cells? Also, is there a type of cancer that atypical complex cells grow into?
My mom died from ovarian ca but I am BRACA negative

Answered by Dr. Manisha Jain (46 minutes later)

Brief Answer:
pap smear advised

Detailed Answer:
Hello mam, I appreciate your knowledge.
Yes you are right morcellation increases the chances of spread of carcinomas at times but as you had intact removal and that too laparoscopically which offers the advantage of harmonic scalpel and bipolar cautry the chances of leftover tissue and secondary spread is minimal.
Just get your routine pap smear test done and then we can discuss the reports.
All the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar