Sorry for the late reply, mm.
I don't have any current problems that I relate to the hyster itself, except the occasional dryness, which I mentioned. In that respect, it's been only positive. (I don't have penetrative sex, so I can't speak to that aspect of recovery.) I was on T for ten months at the time of surgery, and now I'm about 18 months. I don't think my surgeon said the T had much effect, except that I was not on birth control, so fewer blood clot worries there. I know that some sources say T slows wound healing, but I recovered pretty much on the same schedule as his cis patients. Then again, I hadn't been on T that long.
I have had bladder problems because of the v-nectomy. It requires repositioning the bladder and putting in some mesh to support it, now that the other parts are gone. Right after surgery, I had a hematoma that kept me from urinating, and was catheterized for about three weeks (UGH), and had to have a urethral dilation done (SUPER UGH). Since then, I have had urination problems that my surgeon told me were caused by my bladder forgetting how to do its thing/getting weak from the long rest. It's not really a big deal, I just have to pee more than once sometimes. He said it'll eventually be back to normal. The more common complication you get with a v-nectomy is apparently incontinence, and I'm REALLY glad I didn't get that.
I do think the recovery was somewhat more painful and difficult for having had the v-nectomy done; there was a great deal of gross cleaning of bottom stitches that would not have been there with an ordinary hysto. Worth it, to me. I discovered later, however, that what an oncological surgeon means by "v-nectomy" and what I imagined are very different. I am not in fact sewed up all closed and have everything gone; there are still a few inches there helping support the urethra. I know that they do often get rid of it if you have the urethral lengthening etc. done. My fault for not asking--my surgeon does not specialize in trans* surgery.
Also, it took about four months for my digestion to return to normal, but I'm not sure how common that is.