A Study of the Effect of Changes in Ano-Rectal Function after Hysterectomy / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1701-1705, 1999.
Article
in Korean
| WPRIM
| ID: wpr-11830
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 was0.05). 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physiology
/
Reflex
/
Prospective Studies
/
Statistics as Topic
/
Constipation
/
Defecation
/
Hysterectomy
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
1999
Type:
Article
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