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Doctor insights on: Bowel Prep Before Hysterectomy

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Why is it necessary for me to take a bowel prep before having a hysterectomy?

Why is it necessary for me to take a bowel prep before having a hysterectomy?

Yes: It is in your best interest to do so just incase an injury occurs to your colon during the surgery, it can be repaired without the need to have a colostomy.

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Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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Why is it that I need to do a bowel prep for a hysterectomy?

Why is it that I need to do a bowel prep for a hysterectomy?

Safety: It is not common to have a bowel prep. It can be recommended for cancer or if adhesions and scar tissue such as prior surgery raise the risk for possible bowel injuries. It is safer to have a bowel prep than risk infection with a bowel injury.

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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?

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?

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.

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How to decide the urgency for booking hysterectomy, bladder and bowel repair?

How to decide the urgency for booking hysterectomy, bladder and bowel repair?

Totally depends: On your symptoms and what condition everything is in, your doc should be giving you strong guidance for that please call the gyn, or gen surgeon or whomever suggested the surgery.

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How typical is a bowel ileus after hysterectomy?

How typical is a bowel ileus after hysterectomy?

Not common.: An ileus is not a common complication of hysterectomy. However, it can happen after any abdominal or pelvic surgery. The method used to perform the surgery and the difficulty of performing the surgery will determine the overall risk of ileus. For example, if you have scarring that involves the bowel - risk of ileus goes up. The more the bowel is "messed with" the higher the risk.

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Any risk of bowel perforation during hysterectomy?

Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur.

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My right ovary was left after a hysterectomy keeps developing cysts. Tried to remove but its attached to bowel. Can the ovary be killed?

My right ovary was left after a hysterectomy keeps developing cysts. Tried to remove but its attached to bowel. Can the ovary be killed?

Try birth control: Ovaries are supposed to make cysts (follicles-that contain an egg) every month. Sometimes the cysts can grow too large or bleed when they open, causing pain. An easy way to treat this without surgery is to use birth control pills which suppress the ovaries and should help keep them from making cysts.

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Can you get diverticulitis from a bowel perforation during a hysterectomy?

Not likely: Diverticulosis is when you have pouches form in the wall of the colon; it usually develops slowly w/ age. It may be genetic, related to constipation or to a low fiber diet. Diverticulitis is when 1 of these pouches gets inflamed & infected, leading to pain, fever, obstruction, bleeding & abscesses. This doesn't usually result from surg trauma, but the symptoms can be similar to a perforation.

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Can you tell me about risk of bowel perforation during laparoscopic hysterectomy?

Can you tell me about risk of bowel perforation during laparoscopic hysterectomy?

Very uncommon: Any abdominal or pelvic surgery can result in a bowel injury. The risk depends on how complicated the surgery is to perform. The experience of your surgeon is also important. On the rare occasion that the bowel is injured it can usually be repaired with minimal problems. Problems result if your surgeon did not realize the bowel was perforated.

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What are causes of bowel and bladder problems after a complete hysterectomy?

What are causes of bowel and bladder problems after a complete hysterectomy?

More info needed: In the long run, there should be no affect on your bowel or bladder function after hysterectomy. There are risks of surgery to both those organ systems, but those problems would arise promptly after surgery.

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I had a hysterectomy 3 months ago & am still having bowel movement issues. Is this normal?

I had a hysterectomy 3 months ago & am still having bowel movement issues. Is this normal?

Not necessarily: Your statement is too vague to render answer or opinion. What type of bowel movement concerns do you have? Constipated? Diarrhea? Bleeding or blood in stool? Straining or difficulty evacuating stool? Have you ever had a colonoscopy? Check with your surgeon and get referred to gastroenterologist if you have not had a colonoscopy; have bleeding and/or unresolved problems with your bowels.

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I had a hysterectomy 3 months ago & I'm still having trouble with bowel movements. Is this normal & what can I do?

I had a hysterectomy 3 months ago & I'm still having trouble with bowel movements. Is this normal & what can I do?

Miralax (polyethylene glycol): I recommend drinking lots of water and using miralax, (polyethylene glycol) this type of fiber works with your body and doesn't necessarily force you to use the bathroom but lets you decide when you want to go. Each person has different reactions to fiber and some can cause bloating to some while others to have the same symptoms, so it is important to try a few to see which one works best for you.

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Hysterectomy w/ posterior repair: 2009. Laproscopic bowel resection: 2011. Now same bowl symptoms as before. Probability of enterocele recurrence?

Hysterectomy w/ posterior repair: 2009. Laproscopic bowel resection: 2011. Now same bowl symptoms as before. Probability of enterocele recurrence?

Too vague: Intestinal symptoms will usually be different than an enterocele symptom. If you could restate your question with your symptoms I could be more helpful. Thank you.

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I had a laparoscopic hysterectomy on August 27. Have been recently having bowel issues and haven't had a bowel movement in 5 days (that was a small).?

I had a laparoscopic hysterectomy on August 27. Have been recently having bowel issues and haven't had a bowel movement in 5 days (that was a small).?

Unrelated: Four months later it is unlikely that this is related to the hysterectomy unless you have some post-op adhesions which could cause a partial obstruction. That would usually cause some pain too. Try starting with increased fluids and fiber. Many GI doctors recommend Miralax (polyethylene glycol). If this doesn't help, talk to your primary care provider.

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Spotty bleeding after bowel movement (hysterectomy 10yrsago) need to worry? 50 years old

Spotty bleeding after bowel movement (hysterectomy 10yrsago) need to worry? 50 years old

Probably: Probably not. This of course, depends on the reason for the hysterectomy and your current menopausal status. If the hysterectomy was complete (removed cervix) for benign reasons there is little to worry about. Obviously persistend or increasing bleeding should be evaluated.

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Had a hysterectomy in 2009 loosing all but my right ovary. Had a recent check up where now I have small cysts along with bowel gas. What is that?

Had a hysterectomy in 2009 loosing all but my right ovary. Had a recent check up where now I have small cysts along with bowel gas. What is that?

Normal...: Its probably normal. Ovaries almost always contain small functional cysts and that is normal. Don't worry about the bowel gas. The tech just saw that and commented on it but it doesn't mean anything bad. Bowels have gas in them. Best wishes...

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I am 33 diagnosed with stage 4 endo at 24 have had hysterectomy at 31at 32 diagnosed with endo tumor around bowel and entire abdomen now seizures help?

I am 33 diagnosed with stage 4 endo at 24 have had hysterectomy at 31at 32 diagnosed with endo tumor around bowel and entire abdomen now seizures help?

Recurrent endo: Recurrent endometriosis does indeed occur after hysterectomy in bowel, bladder, or even the umbilicus. Follow your MD's advice about possible surgical intervention and long term anti endometriosis medication therapy.

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Lack of bowel movement after hysterectomy, how long until it gets back to normal?

Varies: The drugs and narcotics used for anesthesia and for post op pain control can slow the bowel. It make take several weeks to return to normal.

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Bowel Prep (Definition)

This is the flushing out of intestinal contents, usually before colonoscopy or colonic surgery. A solution which traverses the intestines without being absorbed is taken orally, causing a complete cleansing of solid ...Read more


Dr. Jeff Livingston
1,872 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more