Abstract
The vagina, uterus and adnexa of 21 women who had a proctocolectomy for ulcerative colitis or Crohn's colitis were examined with vaginography and hysterosalpingography. Six healthy women were used as controls. A characteristic post-operative deformation of the adnexa and the vagina was demonstrated. In 17 of 21 women the fallopian tube anatomy was pathological, in four cases with total obstruction. These abnormalities explain why vaginal discharge, dyspareunia and involuntary sterility are common complaints in women after this type of surgery.
Résumé
Le vagin, l'utérus et les annexes de 21 femmes ayant subi une proctocolectomie pour rectocolite hémorragique ou maladie de Crohn ont été examínés par vaginographie et hysterosalpingographie. 6 femmes saines ont été utilisées comme contrôle. Une déformation post-opératoire caractéristique des annexes et du vagin a été démontrée. Chez 17 des 21 malades, la trompe de Fallope était pathologique; dans 4 cas il y avait une obstruction totale. Ces anomalies expliquent pourquoi les pertes vaginales, la dyspareunie et la stérilité involontaire sont des plaintes communes pour les femmes ayant subi ce type de chirurgie.
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Asztély, M., Palmblad, S., Wikland, M. et al. Radiological study of changes in the pelvis in women following proctocolectomy. Int J Colorect Dis 6, 103–107 (1991). https://doi.org/10.1007/BF00300204
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DOI: https://doi.org/10.1007/BF00300204