Prior A, Stanley K, Smith A R, Read N W
Department of Human Gastrointestinal Physiology, Royal Hallamshire Hospital, Sheffield.
Gut. 1992 Feb;33(2):264-7. doi: 10.1136/gut.33.2.264.
To investigate whether vaginal or total abdominal hysterectomy is associated with changes in anorectal and urethrovesical physiology, 26 women were studied before operation and six weeks and six months afterwards. The results showed a postoperative increase in both rectal and vesical sensitivity (p less than 0.01). Similar results were observed irrespective of the type of hysterectomy. No significant changes in rectal or bladder compliance were noted, and anal pressure and urethral pressure and length were unchanged after surgery. Whole gut transit was not affected by hysterectomy. Urinary symptoms occurred de novo in 6/26 women and gastrointestinal symptoms in 2/26 women. These results show that significant changes in rectal and vesical sensitivity occur after hysterectomy for benign disease. These persist for at least six months postoperatively but are not always associated with development of urinary or gastrointestinal symptoms.
为研究阴道子宫切除术或经腹全子宫切除术是否与肛门直肠及尿道膀胱生理变化相关，对26名女性在手术前、术后六周和六个月进行了研究。结果显示，术后直肠和膀胱敏感性均增加（p<0.01）。无论子宫切除术的类型如何，均观察到类似结果。未发现直肠或膀胱顺应性有显著变化，术后肛门压力、尿道压力及长度均未改变。全肠道转运不受子宫切除术影响。26名女性中有6名出现了新发泌尿系统症状，2名出现了胃肠道症状。这些结果表明，良性疾病子宫切除术后直肠和膀胱敏感性发生了显著变化。这些变化在术后至少持续六个月，但并不总是与泌尿系统或胃肠道症状的出现相关。
