Clinical Study on Risk Factors of Pelvic Organ Prolapse in Reproductive Age Group and Study of Abdominal Sling Surgeries done for It, with respect to Early Complications, Anatomical Results, and Symptoms of Descent

Abstract

Introduction:The purpose of a conservative procedure is the correction and restoration of the prolapse with the most effective long-lasting result, which allows sexual functioning and, for young patients, conservation of reproduction. Objectives:To study the risk factors for prolapse in reproductive age group; to study various conservative surgeries done for pelvic organ prolapse (POP). Materials and methods:This is a retrospective study conducted on patients presenting with pelvic organ prolapse in reproductive age group, at Results: We identified 68 women with uterovaginal prolapse in reproductive age group who underwent conservative surgeries: 26 (18%) underwent Virkud's surgery, 20 (29.4%) underwent Shirodkar's sling surgery, and 22 (32.3%) underwent Purandare's sling surgery.There was no major difference in intraoperative and postoperative details in all three surgeries. Postoperative improvement in symptoms was 16 (80%) in Shirodkar's group, 20 (90%) in Virkud's composite sling surgery, and 16 (61.5%) in anterior abdominal wall cervicopexy surgery. Conclusion:Obstetric risk factors are the major contributing factors for pelvic organ prolapse in the reproductive age group. Proper intranatal care will help in reducing the problem; all the conservative surgeries have similar intraoperative, postoperative morbidity and are similar with respect to early anatomical correction. Urinary tract infection and urinary retention were more in anterior abdominal wall hysteropexy group; Patient's satisfaction and success rate is more in Sacropexy and Virkud's composite surgery group compared to anterior abdominal wall hysteropexy group.