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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Is The Appropriate Time To Undergo Hysterectomy When Suffering From Frequent Urination And Constipation?

Yes. Thank you. My sister has an enlarged uterus of 16 cm instead of the normal size, which I understand is about 7.6 cm. She is 43 years old. She would like to wait to have the doctor suggested hysterectomy done in 8 months instead of immediately. She has more frequent urination, constipation and some pain, but too much, but mainly when she first wakes up. At what point do you feel she should have her hysterectomy asap instead of waiting?
Thu, 13 Feb 2014
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OBGYN 's  Response
Hi,
Thanks for the query.
Hysterectomy should be planned depending on the severity of the problem.
You didn't mention why her uterus is enlarged.
Like whether she is having fibroids or adenomyosis etc.
If she is having large sized symptomatic fibroids better to plan hysterectomy early.
If she is having adenomyosis with menorrhagia, dysmenorrhea etc also better to go for hysterectomy.
Large sized uterus may be responsible for bowel and bladder disturbances.
So by undergoing hysterectomy these problems can be relieved.
Hysterectomy can be postponed in conditions like:
-Asymptomatic fibroids, with attainment of menopause size of the fibroids will regress.
-To control any existing medical problems like anemia, hypertension etc.
Take care.
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When Is The Appropriate Time To Undergo Hysterectomy When Suffering From Frequent Urination And Constipation?

Hi, Thanks for the query. Hysterectomy should be planned depending on the severity of the problem. You didn t mention why her uterus is enlarged. Like whether she is having fibroids or adenomyosis etc. If she is having large sized symptomatic fibroids better to plan hysterectomy early. If she is having adenomyosis with menorrhagia, dysmenorrhea etc also better to go for hysterectomy. Large sized uterus may be responsible for bowel and bladder disturbances. So by undergoing hysterectomy these problems can be relieved. Hysterectomy can be postponed in conditions like: -Asymptomatic fibroids, with attainment of menopause size of the fibroids will regress. -To control any existing medical problems like anemia, hypertension etc. Take care.