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Related Experiment Videos

Effects of hysterectomy on bowel and bladder function.

T Taylor1, A N Smith, M Fulton

  • 1Gastrointestinal Unit, University of Edinburgh, Western General Hospital, UK.

International Journal of Colorectal Disease
|December 1, 1990
PubMed
Summary

Hysterectomy can lead to abnormal bowel habits, including constipation, and urinary changes. These symptoms may stem from autonomic denervation affecting both bowel and bladder function.

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Area of Science:

  • Gynecology
  • Gastroenterology
  • Urology

Background:

  • Hysterectomy is a common surgical procedure.
  • Changes in bowel and bladder function are frequently reported post-hysterectomy.
  • The underlying mechanisms for these changes are not fully understood.

Purpose of the Study:

  • To investigate the impact of hysterectomy on bowel habits.
  • To explore the relationship between hysterectomy, bowel function, and urinary frequency.
  • To examine the potential role of autonomic denervation.

Main Methods:

  • A case-control study design was employed.
  • 91 women post-hysterectomy were compared with matched controls.
  • Data collected included bowel habit, stool consistency, and urinary frequency.

Main Results:

  • Post-hysterectomy women reported more abnormal bowel frequency, firmer stools, and constipation.
  • A significant short-term association was found between decreased bowel frequency and increased urinary frequency.
  • Oophorectomy intensified changes in stool consistency but did not significantly alter other bowel habits.

Conclusions:

  • Hysterectomy is associated with significant changes in bowel function, predominantly constipation.
  • Concurrent changes in bowel and bladder frequency suggest a potential common etiology.
  • Autonomic denervation is hypothesized as a contributing factor to post-hysterectomy bowel and bladder dysfunction.

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