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Anonymous

Removal of the uterus causes women to develop a rectocele. When the uterus is removed the bowel drifts down and fills the space previously occupied by the uterus. As the bowel moved down, it pulls the rectum down, which is known as a rectocele. When their is stool in the bowel it pushes down into the vaginal wall. Constipation is structural after hysterectomy, it is the prolapsed rectum and bowel, when there is stool in the bowel, unnaturally bulging into the wall of the vagina. There is a good description of this process on the video "Female Anatomy: the Functions of the Female Organs" at www.hersfoundation.org/anatomy.

Varma JS. Autonomic influences on colorectal motility and pelvic surgery. World Journal of Surgery 1992;16:811-819.

van Dam JH, MJ G, Drogendijk AC, Hop WC, Schouten WR. Changes in bowel function after hysterectomy. Scandinavian Journal of Gastroenterology Supplemental 1997;40:1342-1347.

Wiersma TG, Werre AJ, den Hartog G, Thies JE, Tytgat GN, Mulder CJ. Hysterectomy: the anorectal pitfall. A guideline for evaluation. Scandinavian Journal of Gastroenterology Supplement 1997;223:3-

February 1, 2011 - 10:35pm

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