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Published on: 4/7/2025

What Might Cause Pain in the Lower Right Abdomen After a Hysterectomy?

Pain in the lower right abdomen after a hysterectomy can come from a few causes, including nerve injury, scar tissue (adhesions), or other complications that might affect nearby organs.

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Explanation

After a hysterectomy, some people may notice pain in the lower right part of their abdomen. One common reason is nerve damage or irritation. During surgery, nerves in the pelvic area can sometimes be stretched or even slightly injured, leading to what is called neuropathic pain. This kind of pain can feel sharp, burning, or like an ache that does not go away easily. Another possible cause is the formation of scar tissue or adhesions. Adhesions are bands of tissue that connect organs that normally should not be linked. When they form, they can pull on other tissues and cause discomfort or pain. Additionally, problems with nearby organs or even a small hernia at the incision site might lead to pain in that area. While these explanations are based on research about pain after hysterectomy, it is important to speak with a doctor to understand the specific reasons for pain in any individual case.

(References)

  • Brandsborg B, Nikolajsen L, Hansen CT, Kehlet H, Jensen TS. Risk factors for chronic pain after hysterectomy: a nationwide questionnaire and database study. Anesthesiology. 2007 May;106(5):1003-12. doi: 10.1097/01.anes.0000265161.39932.e8. PMID: 17457133.

  • Choi JB, Kang K, Song MK, Seok S, Kim YH, Kim JE. Pain Characteristics after Total Laparoscopic Hysterectomy. Int J Med Sci. 2016 Jul 5;13(8):562-8. doi: 10.7150/ijms.15875. PMID: 27499688; PMCID: PMC4974904.

  • Brandsborg B, Nikolajsen L. Chronic pain after hysterectomy. Curr Opin Anaesthesiol. 2018 Jun;31(3):268-273. doi: 10.1097/ACO.0000000000000586. PMID: 29474214.

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