Shamim Haque, Ayesha Khan.
Frequency & pelvic symptoms in women with pelvic organ prolapse.
Pak J Surg Jan ;26(1):50-4.

Objective: To determine the frequency of and association of age & parity with symptomatic pelvic organ prolapse. To assess frequency of various symptoms in women with pelvic organ prolapse. Study Design:Prospective Observational study. Sett ing: Gynaecology & Obstetrics Unit V, Sindh Government Lyari General Hospital, Karachi. Duration of Study:2 years & 11 months, from 1st August 2005 to 30th June 2008. Patients & method:All patients admitt ed in Gynae Unit V with a diagnosis of Uterovaginal prolapse were included in this study. Details were recorded on a proforma and data was analyzed. Result:Frequency of symptomatic pelvic organ prolapse was 11% in the Gynae Unit V of Sindh Government Lyari General Hospital. 44.19% of patients were ≤40 years of age and 55.81% patients were >40 years of age. 63.95% patients had parity of 5 & above and 32.56% were para 4 & below. Nulliparity was found in 2.33% of patients & 1.16% were unmarried. All of these patients presented with the complain of something coming out of vagina as their main complaints. 2.33% of patients were found to have urinary stress incontinence. 3.49% of patients had increase frequency of micturation. 3.49% patients had complaints of backache. 2.33% of patients had constipation as associated complaints. 37.21% patients had 3rd degree cervical descent and procidentia was found in 27.90% of patients. Conclusion: Pelvic organ prolapse is common and some degree of prolapse is normal, especially in older women. Grandmultiparity clearly confers a risk for severe prolapse. Small family size and delivery under supervision should be adopted to reduce the risk of pelvic organ prolapse.

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