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Neither subtotal nor total abdominal hysterectomy adversely affects pelvic organ function at 12 months. Subtotal abdominal hysterectomy results in more rapid recovery and fewer short-term complications but infrequently causes cyclical bleeding or cervical prolapse.

Address reprint requests to P. Abrarns, Southmead Hospital, Westbury-on-Tryrn, Bristol BSlO 5NB, England.0 1988 Alan R. Liss, Inc. 404Abramsetal.

Objective To determine the anatomical cure rate of posterior colporrhaphy and its effect on bowel and sexual function one to six years later.Design Retrospective observational study. Conclusions Posterior colporrhaphy corrects the vaginal defect in 76% of women. It does not necessarily correct and may contribute to bowel and sexual dysfunction, particularly in those requiring multiple procedures. The presence of the anatomical defect does not imply dysfunction. The prevalence of bowel symptoms suggests the need for close questioning about bowel habits and the selective use of bowel investigations for some women before surgery.