Hysterectomy does not cause constipation

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

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

15 Citaten (Scopus)


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.

Originele taal-2English
Pagina's (van-tot)1068-1072
Aantal pagina's5
Nummer van het tijdschrift7
StatusPublished - jul-2008
Evenement31st Annual Meeting of the International-Urogynecology-Association - , Greece
Duur: 6-sep-20069-sep-2006

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