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Genital prolapse: A 5-year review at Federal Medical Centre Umuahia, Southeastern Nigeria

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ABSTRACT

Background:: Genital prolapse is an important cause of morbidity among postmenopausal and multiparous women especially in our environment where a high premium is placed on large family size. This study was done to determine the prevalence, risk factors, clinical presentation, and management options of genital prolapse.

Patients and methods:: Data of those diagnosed with genital prolapse were retrieved from records in the clinic, wards, theater, and from patients' folders in the medical records department.

Statistical analysis used:: Data were analyzed using Statistical Package for Social Sciences version 20 with P < 0.05.

Results:: Genital prolapse accounted for 0.8% of gynecological clinic attendances and 5.2% of major gynecological operations. The mean age of patients was 56.7 ± 15.5 years. Farmers constituted 60.7% of the patients while 72.1% and 70.5% were postmenopausal and grandmultiparous women, respectively. The sensation of something coming down the vagina was the most common symptom noted in 98.4% of the patients. Most (23.0%) of the patients had unsupervised delivery at home. Uterovaginal prolapse was the most common (70.5%) type of genital prolapse, and third-degree uterovaginal prolapse was its most frequent presentation. Majority of the patients (44.4%) were managed expectantly while the most common surgery performed was vaginal hysterectomy with pelvic floor repair (33.3%).

Conclusion:: Widespread availability of antenatal services especially in the rural communities and limitation on family size can significantly reduce the burden of this disease.

No MeSH data available.


Presenting symptoms of patients
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Figure 1: Presenting symptoms of patients

Mentions: Figure 1 shows the presenting symptoms. The sensation of something coming down the vagina was the most common symptom noted in 98.4% of the patients which was followed by low backache (16.4%). Only 1 patient had urinary stress incontinence. Figure 2 shows the various risk factors associated with genital prolapse. Even though some patients had multiple risk factors, unsupervised delivery at home was noted in 23.0% of the patients with prolonged labor documented in 14.8%. Table 2 shows the type/degree of prolapse diagnosed. Uterovaginal prolapse was the most commonly (70.5%) diagnosed type of genital prolapse with third-degree uterovaginal prolapse as its most frequent presentation. There was a significant association between menopausal status and the degree of genital prolapse as depicted in Table 3.


Genital prolapse: A 5-year review at Federal Medical Centre Umuahia, Southeastern Nigeria
Presenting symptoms of patients
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036300&req=5

Figure 1: Presenting symptoms of patients
Mentions: Figure 1 shows the presenting symptoms. The sensation of something coming down the vagina was the most common symptom noted in 98.4% of the patients which was followed by low backache (16.4%). Only 1 patient had urinary stress incontinence. Figure 2 shows the various risk factors associated with genital prolapse. Even though some patients had multiple risk factors, unsupervised delivery at home was noted in 23.0% of the patients with prolonged labor documented in 14.8%. Table 2 shows the type/degree of prolapse diagnosed. Uterovaginal prolapse was the most commonly (70.5%) diagnosed type of genital prolapse with third-degree uterovaginal prolapse as its most frequent presentation. There was a significant association between menopausal status and the degree of genital prolapse as depicted in Table 3.

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Genital prolapse is an important cause of morbidity among postmenopausal and multiparous women especially in our environment where a high premium is placed on large family size. This study was done to determine the prevalence, risk factors, clinical presentation, and management options of genital prolapse.

Patients and methods:: Data of those diagnosed with genital prolapse were retrieved from records in the clinic, wards, theater, and from patients' folders in the medical records department.

Statistical analysis used:: Data were analyzed using Statistical Package for Social Sciences version 20 with P < 0.05.

Results:: Genital prolapse accounted for 0.8% of gynecological clinic attendances and 5.2% of major gynecological operations. The mean age of patients was 56.7 ± 15.5 years. Farmers constituted 60.7% of the patients while 72.1% and 70.5% were postmenopausal and grandmultiparous women, respectively. The sensation of something coming down the vagina was the most common symptom noted in 98.4% of the patients. Most (23.0%) of the patients had unsupervised delivery at home. Uterovaginal prolapse was the most common (70.5%) type of genital prolapse, and third-degree uterovaginal prolapse was its most frequent presentation. Majority of the patients (44.4%) were managed expectantly while the most common surgery performed was vaginal hysterectomy with pelvic floor repair (33.3%).

Conclusion:: Widespread availability of antenatal services especially in the rural communities and limitation on family size can significantly reduce the burden of this disease.

No MeSH data available.