Hysterectomy does not cause constipation

Jan-Paul Roovers*, Johanna G. van der Bom, C. Huub van der Vaart, HysVA Study Grp

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)

Abstract

PURPOSE: This study was designed to evaluate the risk on development and persistence of constipation after hysterectomy.

METHODS: We conducted a prospective, observational, multicenter study with three-year follow-up in 13 teaching and nonteaching hospitals in the Netherlands. A total of 413 females who underwent hysterectomy for benign disease other than symptomatic uterine prolapse were included. All patients underwent vaginal hysterectomy, subtotal abdominal hysterectomy, or total abdominal hysterectomy. A validated disease-specific quality-of-life questionnaire was completed before and three years after surgery to assess the presence of constipation.

RESULTS: Of the 413 included patients, 344 (83 percent) responded at three-year follow-up. Constipation had developed in 7 of 309 patients (2 percent) without constipation before surgery and persisted in 16 of 35 patients (46 percent) with constipation before surgery. Preservation of the cervix seemed to be associated with an increased risk of the development of constipation (relative risk, 6.6; 95 percent confidence interval, 1.3-33.3; P=0.02). Statistically significant risk factors for the persistence of constipation could not be identified.

CONCLUSIONS: Hysterectomy does not seem to cause constipation. In nearly half of the patients reporting constipation before hysterectomy, this symptom will disappear.

Original languageEnglish
Pages (from-to)1068-1072
Number of pages5
JournalDISEASES OF THE COLON & RECTUM
Volume51
Issue number7
DOIs
Publication statusPublished - Jul-2008
Event31st Annual Meeting of the International-Urogynecology-Association - , Greece
Duration: 6-Sep-20069-Sep-2006

Keywords

  • hysterectomy
  • constipation
  • defecation
  • prognostic factor
  • prospective study
  • BOWEL FUNCTION
  • URINARY-INCONTINENCE
  • SYMPTOMS
  • QUESTIONNAIRE
  • POPULATION
  • OUTCOMES
  • SURGERY

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