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Related Experiment Video

Updated: Jul 5, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Published on: September 12, 2025

Hysterectomy does not cause constipation.

Jan-Paul Roovers1, Johanna G van der Bom, C Huub van der Vaart

  • 1Department of Obstetrics and Gynecology, Academic Medical Centre, Room H4-205, PO Box 22700, 1105 DE, Amsterdam, The Netherlands. j.p.roovers@amc.uva.nl

Diseases of the Colon and Rectum
|April 30, 2008
PubMed
Summary
This summary is machine-generated.

Hysterectomy does not appear to cause constipation. Nearly half of patients with pre-existing constipation experienced symptom resolution after the procedure, though cervical preservation may increase constipation risk.

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Area of Science:

  • Gynecology
  • Gastroenterology
  • Surgical Outcomes

Background:

  • Constipation is a common condition that can affect quality of life.
  • Hysterectomy is a common surgical procedure for benign gynecological conditions.
  • The impact of hysterectomy on bowel function, specifically constipation, requires further investigation.

Purpose of the Study:

  • To evaluate the risk of developing new-onset constipation after hysterectomy.
  • To assess the persistence of pre-existing constipation following hysterectomy.
  • To identify potential risk factors associated with constipation development or persistence post-hysterectomy.

Main Methods:

  • Prospective, observational, multicenter study with a three-year follow-up.
  • 413 female patients undergoing hysterectomy for benign conditions (excluding symptomatic uterine prolapse).
  • Validated quality-of-life questionnaires administered pre-surgery and at three-year follow-up to assess constipation.

Main Results:

  • Constipation developed in 2% of patients without prior constipation.
  • 46% of patients with pre-existing constipation reported symptom resolution.
  • Cervical preservation was associated with an increased risk of developing constipation (RR 6.6, P=0.02).

Conclusions:

  • Hysterectomy is unlikely to be a cause of new-onset constipation.
  • A significant proportion of patients experience improvement in pre-existing constipation after hysterectomy.
  • Further research is needed to fully understand the relationship between hysterectomy, cervical preservation, and constipation.