Bladder, bowel and sexual function after hysterectomy for benign conditions

Thakar, Ranee; Manyonda, Isaac; Stanton, Stuart L.; Clarkson, Patrick; Robinson, Gillian

doi:10.1111/j.1471-0528.1997.tb12053.x

Cited by 89 publications

(49 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17,18 This divergence in outcomes may be an effect of systematic errors associated with retrospective investigations. It is plausible that patients with bowel dysfunction are more likely to respond to a survey, thereby distorting the selection process.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12][13][14][15][16] Previous reports evaluating bowel function after hysterectomy are mainly retrospective, whereas prospective studies are few with limited follow-up. 17,18 In a previous prospective study by our research team, hysterectomy was not associated with postoperative constipation symptoms, although there was a significant increase in anal incontinence symptoms after abdominal hysterectomy. 19 This study was limited to one year after surgery and long-term effects could not be assessed.…”

mentioning

confidence: 95%

See 1 more Smart Citation

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Forsgren¹,

Zetterström²,

López³

et al. 2007

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

Neither abdominal nor vaginal hysterectomy was associated with constipation, aggravation of constipation, or rectal emptying difficulties three years after surgery. Abdominal and vaginal hysterectomy was, however, associated with an increased risk of mild anal incontinence symptoms, and patients with a reported history of obstetric sphincter injury were at particular risk for posthysterectomy fecal incontinence.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 95%

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Forsgren¹,

Zetterström²,

López³

et al. 2007

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

“…Because a radical hysterectomy procedure involves extensive dissection of structures of the pelvis and removal of the uterus and the cervix with its surrounding tissue, it is likely to cause more damage to the innervation of the rectum and bladder [14][15][16]. Conversely, lesser dissection of the pelvic organs with subtotal hysterectomy may preserve pelvic organ function [17][18][19][20]. However, anatomical studies suggest there is little risk to the pelvic autonomic nerves during hysterectomy unless the cardinal ligaments or an unusually large cuff of vagina are removed [21].…”

Section: Neuroanatomical Considerationsmentioning

confidence: 99%

Bowel Function and Hysterectomy – A Review

et al. 2001

View full text Add to dashboard Cite

Hysterectomy is the most common major gynecological operation performed in the United Kingdom and in the United States. As the operation disrupts the innervation and the intimate anatomical relationship of the pelvic organs such as the bowel and the bladder, function of these organs may be affected. Frequently women date the onset of their bowel symptoms to the time of hysterectomy, though there is no scientific evidence to support causation. Although so frequently performed little is understood of the true incidence of bowel dysfunction after a hysterectomy or the pathophysiology behind it.

show abstract

“…8,9 Thakar R et al reports that detrimental effects on urinary, bowel or sexual function will continue to be for some women after appropriate treatment. 10 Dyspareunia, libido and the number of orgasms were evaluated as disorders affecting sexual life. At follow-up 12 months postoperatively a statistically significant decrease in stress incontinence, frequency and nocturia was observed according to Virtanen H et al 11 According to Butler-Manuel SA et al significantly more autonomic nerves are transected in the more lateral division of the uterine supporting ligaments during a radical hysterectomy than during a simple hysterectomy and Heniford BT et al reported Suture ligatures, ties, hemoclips, and other ligating techniques were used rarely (0.3%) after an application of the EBVS.…”

Section: Discussionmentioning

confidence: 99%