تلخیص
Colonoscopy is a technically difficult procedure due to mobility and tortuous anatomy of the colon. It becomes more challenging in women because of deeper transverse colon and a broad pelvis. This challenge further deepens in patients with prior history of a hysterectomy because of multiple adhesions formation leading to acute angulation of sigmoid colon as well as the bowel dipping deeper into the pelvis.1 Apart from standard indications of colonoscopy in females, including bleeding per rectum, recent change in bowel habit, screening for colorectal cancer, unexplained anemia or weight loss, there is sometimes occurrence of alteration in defecation and bowel function post hysterectomy and colonoscopy is often required to rule out organic causes.2 The rate of moderate or severe discomfort varies significantly between women who had undergone a hysterectomy and those who had not. Mild discomfort was noticed in women without a hysterectomy and moderate to severe discomfort was noticed in women with a hysterectomy
Lubna Kamani, Nazish Butt, Hanisha Khemani. (2021) Challenges during Colonoscopy in Women with a Prior Hysterectomy, Pakistan Journal of Medical Sciences, Volume-37, Issue-1.
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