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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.


Management options *. *15 patients were lost to follow-up and one patient eventually had abdominal hysterectomy
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Figure 3: Management options *. *15 patients were lost to follow-up and one patient eventually had abdominal hysterectomy

Mentions: Figure 3 shows the management options. The majority of patients (44.4%) were managed expectantly. The most common surgical procedure performed was vaginal hysterectomy with pelvic floor repair (33.3%), and this was done mainly in those with third-degree uterovaginal prolapse. A significant association was noted between menopausal status and the choice of hysterectomy as a treatment option which was shown in Table 4. The duration of hospital stay postoperatively ranged from 2 to 11 days with a mean duration of 5 days.


Genital prolapse: A 5-year review at Federal Medical Centre Umuahia, Southeastern Nigeria
Management options *. *15 patients were lost to follow-up and one patient eventually had abdominal hysterectomy
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Management options *. *15 patients were lost to follow-up and one patient eventually had abdominal hysterectomy
Mentions: Figure 3 shows the management options. The majority of patients (44.4%) were managed expectantly. The most common surgical procedure performed was vaginal hysterectomy with pelvic floor repair (33.3%), and this was done mainly in those with third-degree uterovaginal prolapse. A significant association was noted between menopausal status and the choice of hysterectomy as a treatment option which was shown in Table 4. The duration of hospital stay postoperatively ranged from 2 to 11 days with a mean duration of 5 days.

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.