I had a robotic assisted total hysterectomy a week ago. i was given a bowel prep. i still haven't had a movement. when should i worry?

Anytime: But, the gut needs to refill and peristalsis work to move contents along. This can take a week . If bowel sounds and rumbling and gas- flatus, the concerns are low. If abdomen painful or very quiet, seek attention.

BM after surgery: Having a bowel movement after surgery depends on many factors. A bowel prep and pain medicine will both certainly make your bowels move slowly. As long as you are doing well, passing flatus, and don't feel constipated, i would give it some time. If you feel constipated, there are many over the counter laxatives.

With symptoms: If you are not uncomfortable and do not feel the need to have a bowel movement, you are probably ok. However, if you are eating normally you should have a bowel movement soon. It would probably be a good idea to start a bowel kinetic like MiraLAX (polyethylene glycol) now so that you do not develop a big problem.