Pelvic Organ Prolapse - Four Years Review from IGIMS, Patna.

ABSTRACT

Introduction: Pelvic organ prolapse is a common problemamong women in developing countries. It is the herniationof uterus into or beyond the vagina often accompanied byprolapse of vaginal walls involving the bladder or rectum orboth. This study was done to determine its prevalence andidentify the risk factors so that advice could be given to preventits occurance and also to find out the current managementpractices in uterine prolapse.Material and methods: During the study period (2014-2018)a total of 224 cases of prolapse reported in GynaecologyOPD. Prevalence was calculated to be 1.05% of the total OPDregistrations of our department.Results: The mean age of patients in this study was 49.5years. The most common presenting complaint was somethingcoming out per vaginum (73.1%). Majority had paritybetween 2 to 6. 84.5% had vaginal home delivery and 15.4%had hospital vaginal delivery. Most patients presented withthird degree uterovaginal prolapse (58.7%). Vault prolapseconstituted 11.3%. Associated cystocele was present in35.7%, and rectocele in 14.2% of cases. The most commonpredisposing factor identified was unsupervised homedelivery. Pessary application(n=25) and Kiegel’s exerciseadvice (n=102) were done on OPD basis.Conclusion: Improvement in general health, propercontraception and institutional delivery is required to preventprolapse.Treatment should be tailored according to age andrequirement.