2007
DOI: 10.1007/s10350-007-0224-7
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Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Abstract: 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.

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Cited by 40 publications
(29 citation statements)
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“…Similar observations were made by Hirst et al [7] and Forsgren et al [30]. The latter recently showed that in a 3-year follow-up, a hysterectomy does not have any influence on the development of constipation or rectal emptying difficulties [30].…”
Section: Discussionsupporting
confidence: 61%
“…Similar observations were made by Hirst et al [7] and Forsgren et al [30]. The latter recently showed that in a 3-year follow-up, a hysterectomy does not have any influence on the development of constipation or rectal emptying difficulties [30].…”
Section: Discussionsupporting
confidence: 61%
“…In contrast, women who underwent vaginal hysterectomy did not appear to be at increased risk of anal incontinence. In the other 3-year prospective study, however, both women undergoing abdominal, as well as vaginal hysterectomy were at risk for mild anal incontinence symptoms (Forsgren et al 2007). Most importantly, the authors identified that those women who had a history of obstetric sphincter injury were most at risk.…”
Section: Beforementioning
confidence: 96%
“…Eine frühere Hysterektomie, nicht selten bei obstipierten Patienten, die nicht auf eine konservative Behandlung ansprechen und deshalb Operationskandidaten sind, kann auch den perizervikalen Plexus beschädigen und die anorektale Innervation einschließen. Frauen mit einer Hysterektomie sind daher anfälliger für Stuhlinkontinenz [141]. Schließlich wurde noch eine eingeschränkte rektale Compliance nach STARR [14] berichtet, die durch Reduzierung des rektalen Reservoirs [142] zu Stuhlinkontinenz beitragen kann.…”
Section: Rektales Divertikelunclassified