This prospective study was done to evaluate the patients of Pelvic Organ Prolapse (POP) about the duration they are suffering from POP and also the symptoms, the main determinants, degree of prolapse, associated pathologies and the treatment they received. METHODS: This prospective study was done in the patients who reported in Gynecology OPD of our hospital with POP from November 2012 to April 2013. They were asked about the duration they are suffering from prolapse, their chief complaints in detail, the determinants of POP (occupation, BMI, Parity, menopausal status) and were then examined for the degree of prolapse and associated pathologies, complications and the treatment given was recorded. The results are expressed in descriptive statistics by simple percentages with frequency tables. RESULTS: The mean age of women suffering from prolapse was 52.2 years in our study whereas the mean age at which they developed the symptom of something coming out per vaginum was found to be 36.32 years.72.34% women were postmenopausal. Multiparity is major risk factor for prolapse which is proved by 97.88% women in our study being multiparous. Although obesity was not that major determinant in our study as 59.57% had normal BMI. The most common symptom was something coming out per vaginum (in 97.57%) followed by the disturbances in micturition found in 93.62% women. 80.85% women had third degree prolapse and cystocele was present in 95.74% women. Complications seen were decubitus ulcer, keratinization, elongated and congested cervix and hydronephrosis. Majority (74.4%) underwent vaginal hysterectomy with anterior colporrhaphy and posterior colpoperineorrhaphy as the treatment of prolapse.
Early detection of liver metastases is important in patients with known primary malignancies. This plays an important role in treatment planning and impacts on further management of certain primary malignancies.Magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography-computed tomography scans are reported to have high accuracy in the diagnosis of intrahepatic lesions. MRI in particular has the advantages of its high tissue sensitivity and its multiparametric approach.Hepatic metastatic lesions have considerable overlap in their radiological appearance, and in this article the imaging appearance of various hepatic metastasis and approach is described.
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