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Related Experiment Videos

Relation between hysterectomy and the irritable bowel: a prospective study.

A Prior1, K M Stanley, A R Smith

  • 1Department of Gastrointestinal Physiology and Nutrition, Royal Hallamshire Hospital, Sheffield.

Gut
|June 1, 1992
PubMed
Summary

Hysterectomy can improve existing irritable bowel syndrome (IBS) symptoms in many women. However, new IBS symptoms develop in 10% of patients after surgery, with constipation being most common.

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Area of Science:

  • Gastroenterology
  • Gynecology
  • Surgical Outcomes

Background:

  • Irritable bowel syndrome (IBS) is a common gastrointestinal disorder.
  • Some women report symptom onset following hysterectomy.
  • The impact of hysterectomy on IBS requires prospective investigation.

Purpose of the Study:

  • To prospectively assess the incidence of new-onset gastrointestinal symptoms after hysterectomy.
  • To evaluate the effect of hysterectomy on pre-existing IBS symptoms.
  • To identify specific symptom patterns arising post-surgery.

Main Methods:

  • Prospective cohort study involving 205 women undergoing hysterectomy.
  • Symptom questionnaires administered pre-surgery, at six weeks, and six months post-surgery.

Related Experiment Videos

  • Analysis of gastrointestinal symptomatology, including IBS-suggestive symptoms.

    • Main Results:

    • Pre-existing IBS symptoms improved in 60% of women post-hysterectomy.
    • New IBS-suggestive symptoms developed in 10% of previously asymptomatic women.
    • Constipation-predominant IBS was the most frequent new symptom complex (5% incidence).

    Conclusions:

    • Hysterectomy offers symptom improvement for many women with pre-existing IBS.
    • A significant minority of women develop new IBS symptoms post-hysterectomy.
    • Gastroenterologists should anticipate and manage post-hysterectomy gastrointestinal issues.