Pre-operative assessment for Hysteroectomy

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Hi,

My mum has been diagnosed with endometrial cancer in August. Things seem to have been moving quickly and have been given a date for laparoscopic surgery in a couple of weeks. She has been asked to attend for an exercise test as part of the pre-operative assessment but is worried as her fitness levels aren’t great, given she has an underlying lung condition which she takes steroids for and a raised BMI. She’s concerned they simply will not operate on her if she fails it so I was wondering if anyone has had any experience with this? I understand the tests are needed to check if her body is at risk of serious complications and the best anaesthetic approach for her. But what exactly does it entail?

Thanks in advance x

  • Former Member
    Former Member

    Hi SunflowerSeed2 welcome to the forum. It may sound like it is to do with exercise but I suspect it is more to do with how and how well your mums lungs and heart respond to exercise prior to surgery. 

    It may involve pieces of different machinery whilst mum is wired up to machines to give readings. I'm not 100% sure on that but that may be whats going to happen if that makes sense?

  • Hi . As said it probably would involve being hooked up to monitors whilst doing exercise to get readings. I myself just had an ECG. Perhaps other ladies here will be along to offer advice.

    It's not unknown for Laparoscopic hysterectomies to be performed under Epidural anaesthesia rather than General Anaesthetic so it could be that. I was offered the choice but opted for a General.

    It’s always helpful to others if you write a little something (or a lot) about yourself and your Mum's journey to date. You can enter it into your profile (click on your username and select “Profile”) It’s helpful to other members with a similar diagnosis who can then hopefully answer your questions. It also means that you don't have to keep repeating yourself. You can amend or update it at any time. If you’re not sure what to write, just click on my username.

    If you want to ask any of us any questions please come back and do so. There's always someone around and we can offer a shoulder to cry on, a hand to hold or listen to a rant, we’re here for you.

    It might also be a good idea to download this booklet Understanding Womb (Endometrial) Cancer. I found it invaluable on my journey. 

    Click on the link I’ve created to find out more information covering diagnosis and treatments for Womb cancer.

    You might also find this link to what to take in my overnight bag useful for when your Mum has surgery.

    It’s always good to talk and the Macmillan Support Services provides lots of information, support, financial guidance or just a listening ear. It's free to call on 0808 808 00 00  8am to 8pm, 7 days a week. Have a look to see what is available by Clicking here .

    There is also an Ask an Expert section, but you should allow two working days for replies from our expert team.

    Sending you welcoming hugs, B xx 


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  • Hi SunflowerSeed,

    My husband has just had his heart tested before an operation. His heart was tested at rest, and then riding a static bike. I think they were testing how his heart responded.  xxxx

  • Hi,

    I work in preassessment ( and also a uterine cancer survivor)

    It’s an exercise stress assessment, it’s to check how her body responds to stress. Normally, there is a static cycle involved. She’ll be attached to a heart monitor and a breathing machine  whilst she cycles. If she unable to perform the test, tell her not to worry, the doctor will still be able to calculate her risk of potential problems that might occur. It won’t stop her having her surgery, but will help the anaesthetist to decide what anaesthetic route will be best for her.

    sending good luck wishes, A