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Changes in bowel function after hysterectomy

J H van Dam¹, M J Gosselink, A C Drogendijk

¹Department of General Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands.

Diseases of the Colon and Rectum

|November 22, 1997

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Hysterectomy significantly impacts bowel function, with 31% of women reporting severe defecation changes post-surgery. These bowel function disturbances, including straining and incomplete evacuation, highlight a critical link between hysterectomy and altered bowel habits.

Area of Science:

Gynecological Surgery
Gastroenterology
Patient Outcomes

Background:

Hysterectomy is a common gynecological procedure.
Potential adverse effects on bowel function are a concern for patients.

Purpose of the Study:

To investigate the incidence and nature of bowel function changes following hysterectomy.
To compare bowel function outcomes in hysterectomy patients versus a control group.

Main Methods:

Retrospective study of 593 women undergoing hysterectomy (1989-1993).
Control group of 100 women who underwent laparoscopic cholecystectomy.
Data collected via questionnaires on pre- and post-operative bowel function.

Main Results:

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90% response rate from hysterectomy patients (n=531).

59% reported normal pre-operative bowel function; 31% experienced severe post-operative defecation changes.

Common symptoms included straining and incomplete evacuation; changes often began within one month.

Hysterectomy group showed significantly higher incidence of disturbed bowel function (31%) compared to the control group (9%).

Conclusions:

Hysterectomy is strongly associated with the development of disturbed defecation.
The findings underscore the need for patient counseling regarding potential bowel function alterations after hysterectomy.