Evaluation of Pelvic Organ Prolapse in Indian Females

Abstract

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.

Geographical Attributes, Distribution, and Determinants of Pelvic Organ Prolapse in Midwestern Nepal

“…However, the women in the study area had a higher number of childbirths compared to the national average. As several studies have shown, the prevalence of POP increases with parity, which is consistent with our findings (Lien, Chen, & Ng, 2012& Patil, & Patil, 2013. In our study, multipara women (parity 4+) were 7.8 times more likely to have POP compared to women with fewer childbirths.…”

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study

“…Different studies,4,9,27–31 including in Ethiopia12,19 showed that multiparous women have increased risk of POP. Similarly, in our study, multipara women (parity ≥4) were 4.5 times more likely to have POP compared with their counterparts.…”

Efficacy of Quercus infectoria Oliv. Galls in the Management of Uterovaginal Prolapse: A Randomized Clinical Trial

“…19,20,21 Repeated trauma to the pelvic floor muscles due to repeated pregnancies is the major factor for developing prolapse. 22 In our study, mean parity was 3.9±1. 29 25 Maximum patients in the study have history of normal vaginal deliveries which is considered as a major risk factor for the development of uterovaginal prolapse.…”