BACKGROUND: Constipation after hysterectomy has been postulated to be due to @entity16 , but there may be emotional or reversible physical factors of pathophysiological relevance. The aim of this study was to determine whether such @entity1142 is responsive to behavioural treatment. METHODS: Three groups of @entity1 who had completed a course of biofeedback treatment were compared: @entity1 with no history of abdominal or pelvic surgery (n = 25), @entity1 for whom a hysterectomy had led to no change in bowel function (n = 27) and @entity1 who stated that their @entity1142 was precipitated (n = 18) or severely worsened (n = 8) by hysterectomy. Pretreatment and post-treatment details about bowel function and symptoms were assessed using structured interview, and pretreatment whole-gut transit time and anorectal physiology testing were assessed for prognostic relevance. RESULTS: Follow-up after completing treatment was a median of 28 (range 12-44) months. Forty-eight of 78 @entity1 considered that their @entity1142 had improved with treatment; the proportion in each group was similar (P = 0.73). Biofeedback reduced the need to strain, reduced @entity490 , improved bowel frequency, and reduced laxative use to a similar degree in all three groups. Thirty-three of 53 @entity1 with slow transit considered there was an improvement, compared with 15 of 22 with measured normal transit. Physiological testing did not predict outcome and did not differ between the three groups. CONCLUSION: The majority of @entity1 complaining of @entity1142 induced or worsened by hysterectomy respond subjectively to behavioural treatment, in a similar proportion to those with idiopathic @entity1142 . In contrast to the widely held view that @entity16 is responsible for symptoms, reversible factors are likely to be important in many @entity1 .

Behavioural treatment (biofeedback) for XXXX following hysterectomy.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity16 :: ('MESH:D009422', 'Disease') :: ['nerve damage', 'pelvic nerve damage'] @entity1142 :: ('MESH:D003248', 'Disease') :: ['constipation'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain']
@entity1142 :: (MESH:D003248,Disease) :: ['constipation']
