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Relationship of gynecologic surgery to constipation
1Brookwood Women's Medical Center, C. Paul Perry PelvicPain Center, Birmingham, AL 35209, USA.
The Journal of the American Association of Gynecologic Laparoscopists
|February 11, 1999
Summary
Gynecologic surgery, including presacral neurectomy and hysterectomy, significantly increases constipation risk. Women undergoing these procedures experienced higher rates of constipation compared to those without surgery.
Area of Science:
- Gynecologic Surgery
- Gastroenterology
- Pelvic Health
Background:
- Constipation is a common gastrointestinal complaint.
- The impact of gynecologic surgery on bowel function requires further investigation.
Purpose of the Study:
- To compare the frequency of constipation in women undergoing presacral neurectomy, hysterectomy, or other gynecologic surgeries versus those who did not undergo surgery.
Main Methods:
- Retrospective, nonrandomized study involving 256 women.
- Participants were divided into four groups: presacral neurectomy, hysterectomy, other gynecologic surgery, and no surgery.
- Data collected on surgical procedures and incidence of constipation.
Main Results:
- A higher percentage of patients undergoing surgery reported constipation compared to the no-surgery group.
- Constipation rates were 31.8% for presacral neurectomy, 27.7% for hysterectomy, and 25% for other gynecologic surgery.
- The no-surgery group reported a 10.5% incidence of constipation.
Conclusions:
- Gynecologic surgical procedures are associated with an increased risk of constipation.
- Pelvic surgery may lead to parasympathetic nerve dysfunction, contributing to constipation.
- Further research is warranted to understand the mechanisms and management of post-surgical constipation.