Effect of Hysterectomy on Anorectal and Urethrovesical Physiology

Overview

Journal Gut

Specialty Gastroenterology

Date 1992 Feb 1

PMID 1541424

Citations 5

Authors

A Prior

K Stanley

A R Smith

N W Read

Affiliations

Soon will be listed here.

Abstract

To investigate whether vaginal or total abdominal hysterectomy is associated with changes in anorectal and urethrovesical physiology, 26 women were studied before operation and six weeks and six months afterwards. The results showed a postoperative increase in both rectal and vesical sensitivity (p less than 0.01). Similar results were observed irrespective of the type of hysterectomy. No significant changes in rectal or bladder compliance were noted, and anal pressure and urethral pressure and length were unchanged after surgery. Whole gut transit was not affected by hysterectomy. Urinary symptoms occurred de novo in 6/26 women and gastrointestinal symptoms in 2/26 women. These results show that significant changes in rectal and vesical sensitivity occur after hysterectomy for benign disease. These persist for at least six months postoperatively but are not always associated with development of urinary or gastrointestinal symptoms.

Citing Articles

Colorectal motor and sensory function after hysterectomy.

van Hoboken E, Timmermans F, van der Veek P, Weyenborg P, Masclee A Int J Colorectal Dis. 2014; 29(4):505-10.

PMID: 24420738 DOI: 10.1007/s00384-013-1823-5.

Effects of vaginal hysterectomy on anorectal sensorimotor functions--a prospective study.

Bharucha A, Klingele C, Seide B, Gebhart J, Zinsmeister A Neurogastroenterol Motil. 2011; 24(3):235-41.

PMID: 22151833 PMC: 3404136. DOI: 10.1111/j.1365-2982.2011.01825.x.

Hysterectomies and Urologic Symptoms: Results from the Boston Area Community Health (BACH) Survey.

Link C, Pulliam S, McKinlay J Female Pelvic Med Reconstr Surg. 2011; 16(1):37-47.

PMID: 21423814 PMC: 3060564. DOI: 10.1097/spv.0b013e3181cb9931.

Hysterectomy does not cause constipation.

Roovers J, van der Bom J, Huub van der Vaart C Dis Colon Rectum. 2008; 51(7):1068-72.

PMID: 18443878 PMC: 2468312. DOI: 10.1007/s10350-007-9147-6.

Bowel function and irritable bowel symptoms after hysterectomy and cholecystectomy--a population based study.

Heaton K, Parker D, Cripps H Gut. 1993; 34(8):1108-11.

PMID: 8174964 PMC: 1374364. DOI: 10.1136/gut.34.8.1108.

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