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A hysterectomy or other pelvic surgery can be a cause, [4] as can chronic constipation and straining to pass bowel movements. It is more common in older women than in younger ones because estrogen which helps to keep the pelvic tissues elastic decreases after menopause. [medical citation needed]
Enterocoele may develop because of weakening pelvic floor, multiple pregnancies, hysterectomy, and long term chronic straining. Sometimes people have a developmental condition where the rectovaginal septum fails to completely fuse, and they have a congenitally deep pouch of Douglas. [ 21 ]
Though rare, estimates of the prevalence of vaginal cuff dehiscence after hysterectomy are estimated and reported to be between 0.14 and 4.1% per the American College of Obstetricians and Gynecologists (ACOG). [7] If the vaginal cuff is compromised, vaginal evisceration can occur with the small intestine protruding out through the vagina. [3]
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Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. [2] The stool is often hard and dry. [ 4 ] Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. [ 3 ]
Diet can help with constipation, eating more fiber and fewer high-fat foods. These are the most effective foods at relieving constipation, a dietitian says. The best 16 foods to relieve ...
It is also unknown if the choice of surgical technique has any effect. It has been assessed that the risk for urinary incontinence is approximately doubled within 20 years after hysterectomy. One long-term study found a 2.4 fold increased risk for surgery to correct urinary stress incontinence following hysterectomy. [37] [38]