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Gynecology

NDVH – Non-Descent Vaginal Hysterectomy

Vaginal hysterectomy without abdominal incisions — comfortable, safe, and fast recovery at Chahal Hospital, Bathinda.

30+
Years Experience
50K+
Patients Treated
99%
Success Rate
24/7
Emergency Care
NDVH – Non-Descent Vaginal Hysterectomy at Chahal Hospital
Zero Abdominal Scars
1–2 Day Hospital Stay
Resume Work in 1–2 Weeks
Highly Specialised Technique
Gynecology

NDVH – The Scar-Free Hysterectomy Approach

Non-Descent Vaginal Hysterectomy (NDVH) is a specialised technique for removing the uterus entirely through the vaginal canal, without any abdominal incision. Unlike vaginal hysterectomy in uterine prolapse (where the uterus has already descended), NDVH is performed in cases where the uterus is in its normal position — making it technically more demanding.

At Chahal Hospital, Dr. Suneet Chahal has extensive expertise in NDVH, having mastered the advanced skills required to safely deliver and remove non-prolapsed uteri of varying sizes through the vaginal route. Special morcellators and tissue sizers are used where needed.

NDVH offers the significant advantage of no abdominal scars, less post-operative pain, very short hospital stay (1–2 days), and faster recovery compared to abdominal hysterectomy. It is an excellent option for women with smaller uteri and benign conditions who have previously delivered vaginally.

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Warning Signs

Signs & Symptoms

Recognize the early signs that indicate you may need medical attention

Menorrhagia

Heavy, prolonged menstrual bleeding unresponsive to hormonal treatment.

Dysmenorrhoea

Severe, disabling menstrual pain from fibroids or adenomyosis.

Pelvic Pressure

Sensation of fullness or pressure from an enlarged uterus.

Abnormal Uterine Bleeding

Irregular, unpredictable bleeding requiring definitive surgical management.

Failed Medical Therapy

Persistence of symptoms despite hormonal medications and other conservative treatments.

Fibroid Uterus

Multiple or single large fibroids causing significant symptoms with no desire for future pregnancy.

Understanding the Condition

Common Causes & Risk Factors

01

Fibroid Uterus

Multiple or bulky fibroids causing heavy bleeding, pain, or pressure symptoms.

02

Adenomyosis

Diffuse uterine adenomyosis causing heavy, painful periods and a uniformly enlarged uterus.

03

DUB (Dysfunctional Uterine Bleeding)

Abnormal uterine bleeding from hormonal imbalance failing medical management.

04

Endometrial Hyperplasia

Thickening of the uterine lining with risk of progression to endometrial cancer.

05

Chronic Pelvic Pain

Refractory pelvic pain significantly impacting quality of life with no response to conservative treatment.

Our Approach

Treatment Options

Advanced minimally invasive techniques for better outcomes and faster recovery

1

Pre-Operative Workup

TVS ultrasound, hysteroscopy, Pap smear, and blood counts to ensure safe candidacy.

3

TLH (Alternative)

Total Laparoscopic Hysterectomy offered when vaginal approach is not feasible.

4

Post-Op Follow-Up

Scheduled follow-up at 2 and 6 weeks with hormone guidance if ovaries removed.

Why Choose Us

Benefits at Chahal Hospital

Completely Scar-Free

No abdominal incision — all tissue removed through the natural vaginal canal.

Minimal Blood Loss

Expert haemostatic technique ensures blood loss is kept to a minimum.

Less Pain

Vaginal approach causes significantly less post-operative discomfort than abdominal surgery.

Short Stay

Most patients are discharged within 24–48 hours of the procedure.

Specialist Expertise

Dr. Suneet Chahal is highly trained in advanced vaginal hysterectomy techniques.

Fast Recovery

Patients typically resume light activities within a week and full activity in 2 weeks.

Expert Care

Your Specialist

Dr. Suneet Chahal

Dr. Suneet Chahal

Consultant – Obstetrics & Gynaecology

MBBS, MS (OBG), DGO

15+ Years Experience Expert in NDVH – Non-Descent Vaginal Hysterectomy
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Have Questions?

Frequently Asked Questions

NDVH is best suited for women with a relatively mobile uterus of moderate size, previous vaginal delivery, and no severe adhesions or suspected malignancy. Your doctor will assess suitability after examination and ultrasound.

In prolapse hysterectomy, the uterus has already descended and is easily accessible vaginally. In NDVH, the uterus is in its normal position — requiring advanced surgical skill to safely deliver and remove it through the vagina.

Mild to moderate pelvic discomfort for a few days is expected and managed with oral pain relief. Most patients find it significantly less painful than open abdominal hysterectomy.

Moderately enlarged uteri (up to 12–14 weeks size) can often be safely managed with vaginal morcellation. Very large uteri may be better managed with TLH.

Most women return to desk work within 7–10 days. Physical or heavy work should be avoided for 4–6 weeks.

Ready to Get Treatment?

Consult our expert specialists for NDVH – Non-Descent Vaginal Hysterectomy. Advanced, minimally invasive care with faster recovery and lasting results.