6. A One-Year Review of Pelvic Organ Prolapse at St. Paul’s Hospital Millennium Medical College, Addis Ababa Ethiopia

Abstract

Abstract

Background: Pelvic organ prolapse is the descent of anterior vaginal wall, posterior vaginal wall, uterus and after hysterectomy the apex of the vagina through the vaginal canal. Different risk factors are incriminated as a cause including multi parity, heavy lifting and hypo estrogenic state like menopause.

Objective: To review the sociodemographic data, clinical profile and management of patients admitted with the diagnosis of pelvic organ prolapse at St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia between December 1 2015 and November 30 2016.

Method: A facility based descriptive cross-sectional study was conducted. A structured questionnaire was used to collect sociodemographic characteristics, clinical profile, type of operation done and acute complication of the surgery. Data was entered and analyzed using SPSS statistical package version 16.

Result: A total of seventy-four patients with POP were admitted and included in the study. Majority of patients with POP operated at St Paul’s hospital millennium medical college are Gurage in ethnicity 42 (57%), postmenopausal 48 (63.9%) and grandmultipara 44(59.4%). Vaginal hysterectomy with anterior colporrhaphy is the commonest surgical procedure done. The contribution of POP out of the major gynecologic operations done in SPHMMC during the study period was 15 %.

Conclusions: Pelvic organ prolapse contributes a significant percentage of major gynecologic procedure and more common among Gurage ethnicity. Further study in the more prevalent area to identify any peculiar risk factors and preventive strategies of the known risk factors is of great importance.

Key words: Pelvic organ prolapse, vaginal hysterectomy, Uterovaginal prolapsed

(Ethiopian Journal of Reproductive Health 2018;10:56-61)