Relationship of gynecologic surgery to constipation

C. Paul Perry, C P Perry, Perry CP
The Journal of the American Association of Gynecologic Laparoscopists · 1999 · vol. 6(1) , pp. 75–78 · doi:10.1016/s1074-3804(99)80045-0 · PMID:9971856 · W1997525840
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This paper investigated the connection between gynecologic surgery and the development of constipation.

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Abstract

Study objectiveTo determine if women undergoing presacral neurectomy, hysterectomy, or other gynecologic surgery experience a greater frequency of constipation than those having no surgery.DesignConcurrent, nonrandomized, retrospective study (Canadian Task Force classification II-2).SettingTertiary medical care center with referral-based practice for the treatment of chronic pelvic pain.PatientsTwo hundred fifty-six women forming four groups based on surgical procedure: presacral neurectomy (66), hysterectomy (65), other gynecologic surgery (68), and no surgery (57).InterventionsLaparoscopic presacral neurectomies. Other gynecologic surgery included laparoscopy, dilatation and curettage, laparoscopic resection of endometriosis, or any combination of these procedures.Measurements and main resultsConstipation was defined as decrease in frequency of spontaneous bowel movements. A statistically significant greater percentage of patients undergoing surgical procedures were more constipated than those having no surgery: presacral neurectomy, 31.8%; hysterectomy, 27.7%; other gynecologic surgery, 25%; and no gynecologic surgery, 10.5%.ConclusionPelvic surgery may cause parasympathetic nerve dysfunction leading to constipation. (J Am Assoc Gynecol Laparosc 6(1):75-78, 1999)

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Condition tags

dysmenorrheachronic_pelvic_pain

MeSH descriptors

Constipation Gynecologic Surgical Procedures Adult Chronic Disease Constipation Dysmenorrhea Dysmenorrhea Female Follow-Up Studies Gynecologic Surgical Procedures Humans Hypogastric Plexus Hypogastric Plexus Pelvic Pain Pelvic Pain Retrospective Studies

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