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[Constipation following hysterectomy. Retrospective study based on 105 cases]

F Gaj1, A Trecca, U Scozzafava

  • 1Divisione di Chirurgia Generale, Università degli Studi di Roma La Sapienza.

Minerva Ginecologica
|March 1, 1995
PubMed
Summary

Hysterectomy surgery increases the incidence of constipation, affecting 38% of patients post-operation compared to 25% pre-operation. This postoperative constipation is linked to urinary issues and can result from various hysterectomy procedures.

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Area of Science:

  • Gynecology
  • Surgical Outcomes
  • Gastroenterology

Context:

  • Constipation following pelvic surgery, specifically hysterectomy, is a recognized clinical issue.
  • A retrospective study analyzed patients undergoing various hysterectomy procedures for benign and malignant pathologies.

Purpose:

  • To evaluate the incidence of constipation before and after hysterectomy.
  • To determine if specific hysterectomy types correlate with varying constipation rates.
  • To explore the association between post-hysterectomy constipation and urinary disorders.

Summary:

  • The incidence of constipation rose from 25% preoperatively to 38% postoperatively (p < 0.05) in patients who underwent hysterectomy.
  • No significant difference in postoperative constipation rates was observed among different surgical approaches (Wertheim-Meigs, laparohysterectomy, colpohysterectomy, Schauta).

Related Experiment Videos

  • Postoperative constipation after hysterectomy demonstrated a significant association with concurrent urinary disorders.

    • Impact:

    • These findings confirm previous research on the impact of hysterectomy on both urinary and defecatory functions.
    • The study highlights that even less extensive procedures, such as simple colpohysterectomy, can contribute to the development of constipation.
    • Understanding these associations can inform patient counseling and postoperative care strategies.