The risk of these changes tends to increase as the years progress since the bladder and bowel fall after
hysterectomy. Adhesions (scar tissue) can further hamper
bowel function even to the point of obstruction. The alignment of the spine, hips, and rib cage also change since the uterine ligaments are the pelvis' support structures. That is why the figure changes after hysterectomy and many women complain of back, hip, and rib cage pain as the years progress.