Changes in bowel function after hysterectomy

Dam, J. H. van; Gosselink, M. J.; Drogendijk, A. C.; Hop, W. C. J.; Schouten, W. R.

doi:10.1007/bf02050820

Cited by 70 publications

(37 citation statements)

References 29 publications

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“…Retrospective studies have shown an association between hysterectomy and constipation, [10][11][12]14,15 whereas prospective studies commonly find no association between hysterectomy and altered bowel function at short-term follow-up. 17,18 This divergence in outcomes may be an effect of systematic errors associated with retrospective investigations.…”

Section: Discussionmentioning

confidence: 99%

“…7 In several studies, adverse alterations of bowel function has been attributed to a previous hysterectomy, 8,9 usually resulting in constipation and rectal emptying difficulties. [10][11][12][13][14][15][16] Previous reports evaluating bowel function after hysterectomy are mainly retrospective, whereas prospective studies are few with limited follow-up. 17,18 In a previous prospective study by our research team, hysterectomy was not associated with postoperative constipation symptoms, although there was a significant increase in anal incontinence symptoms after abdominal hysterectomy.…”

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confidence: 99%

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Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Forsgren¹,

Zetterström²,

López³

et al. 2007

Diseases of the Colon &Amp; Rectum

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Neither abdominal nor vaginal hysterectomy was associated with constipation, aggravation of constipation, or rectal emptying difficulties three years after surgery. Abdominal and vaginal hysterectomy was, however, associated with an increased risk of mild anal incontinence symptoms, and patients with a reported history of obstetric sphincter injury were at particular risk for posthysterectomy fecal incontinence.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Forsgren¹,

Zetterström²,

López³

et al. 2007

Diseases of the Colon &Amp; Rectum

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“…Possible explanations for gastrointestinal disease include adhesions after abdominal surgery, enteropathy after abdominal radiation [32] and rectal dysfunction caused by nerve damage during radical hysterectomy [33]. Osteoporosis subsequent to oophorectomy [34] and peripheral neuropathy caused by cisplatin [35] could have been perceived by patients as musculoskeletal disease.…”

Section: Discussionmentioning

confidence: 99%

Comorbidity in Disease-Free Survivors of Cervical Cancer Compared with the General Female Population

Shin¹,

Nam

Kwon³

et al. 2008

Oncology

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Objectives: We aimed to investigate the prevalence of comorbidities in cervical cancer survivors compared with the general population and to identify risk factors and impact on their quality of life (QoL). Methods: 860 female cervical cancer survivors enrolled at six tertiary hospitals and 994 women from the general population were surveyed on current comorbidities and QoL (EORTC QLQ-C30 and QLQ-CX24). Results: Compared with the general female population, the cervical cancer survivors reported higher prevalence of comorbidities (0.93 ± 2.91 vs. 0.37 ± 0.67, p < 0.01), significantly more heart disease (adjusted odds ratio (aOR), 2.64; 95% confidence interval (CI), 1.38–5.07), liver disease (aOR, 3.29; 95% CI, 1.54–7.02), hypertension (aOR, 1.72; 95% CI, 1.30–2.27), gastrointestinal disease (aOR, 1.79; 95% CI, 1.37–2.33) and musculoskeletal disease (aOR, 1.94; 95% CI, 1.45–2.59). Heart and renal disease significantly influenced QoL in many subscales. Patients with diabetes or cerebrovascular disease had an increased likelihood of sexual problems. Conclusions: The cervical cancer survivors had more comorbidities than the general population, and that in turn affected their QoL. Vigilant follow-up of comorbidities should be incorporated into in the care of cancer survivors.

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“…Prostaglandins, particularly prostaglandin F 2a , are known to have a stimulatory effect on motor and secretary activity in the bowel [39]. Removal of the uterus, which is a potential source of prostaglandins, could give rise to decreased prostaglandin levels in the blood, predisposing to bowel disturbance [40]. It is interesting to note that some of the patients questioned by Preston and Leonard [4] only defecated at the time of menstruation, providing an explanation for posthysterectomy exacerbation of a previously tolerable bowel habit.…”

Section: Hormonal Factorsmentioning

confidence: 99%

Bowel Function and Hysterectomy – A Review

et al. 2001

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Hysterectomy is the most common major gynecological operation performed in the United Kingdom and in the United States. As the operation disrupts the innervation and the intimate anatomical relationship of the pelvic organs such as the bowel and the bladder, function of these organs may be affected. Frequently women date the onset of their bowel symptoms to the time of hysterectomy, though there is no scientific evidence to support causation. Although so frequently performed little is understood of the true incidence of bowel dysfunction after a hysterectomy or the pathophysiology behind it.

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Changes in bowel function after hysterectomy

Abstract: Hysterectomy seems to play an important role in the pathogenesis of disturbed defecation.

Cited by 70 publications

References 29 publications

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Comorbidity in Disease-Free Survivors of Cervical Cancer Compared with the General Female Population

Bowel Function and Hysterectomy – A Review

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