A Study of the Effect of Changes in Ano-Rectal Function after Hysterectomy.
- Author:
Jae Gun SUNWOO
;
Kyu Yeon CHOI
;
Min Kwan KIM
;
Seul Ki LEE
;
Dong Han BAE
;
Mun Ho LEE
- Publication Type:Original Article
- Keywords:
Hysterectomy;
Ano-rectal function
- MeSH:
Constipation;
Defecation;
Humans;
Hysterectomy*;
Physiology;
Prospective Studies;
Surveys and Questionnaire;
Reflex;
Statistics as Topic
- From:Korean Journal of Obstetrics and Gynecology
1999;42(8):1701-1705
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: It has been suggested that hysterectomy has a disturbing influence on bowel function, mainly constipation. We performed a prospective study to assess the changes of ano-rectal physiology after hysterectomy. METHODS: Fourteen consecutive patients were assessed before and two months after hysterectomy. A detail questionnaire was devised to allow assessment of bowel function and ano-rectal pressure test and balloon expulsion test were performed before and after hysterectomy. The parameters measured in ano-rectal pressure test included the minimal sensible volume, ano-rectal resting pressure, maximal squeezing pressure, recto-anal inhibitory reflex and balloon expulsion test. Data analysis was carried out by paired t-test. Statistical significance was inferred when the p value was<0.05. RESULTS: Among the fourteen patients, the straining in defecation was found in three patients after operation, other defication habits were not significantly changed after hysterectomy(P>0.05). There were no significant changes in ano-rectal pressure test after hysterectomy. The disturbance of balloon expulsion capacity was increased in four patients after hysterectomy(29%). CONCLUSION: Our results demonstrate that hysterectomy does not cause a decrease in ano-rectal pressure and rectal sensitivity, but has an adverse effect on rectal expulsion capacity in a some of patients.
