A combined urogynaecological approach for pelvic organ prolapse: results of a rural centre from northern Maharashtra
Volume : 1
Issue : 3
Online ISSN : XXXX
Print ISSN : XXXX
Article First Page : 39
Article End Page : 42
Introduction: Pelvic organ prolapse (POP) is a benign condition that can turn symptomatically malignant, if not treated on time. A multidisciplinary combined approach is required to tackle this condition.
Aim: Clinical diagnosis of women with POP, with genito-urinary symptoms and the options for their management under one roof and combined care of urologist and gynaecologist.
Materials and Methods: This study was done in patients admitted with signs and symptoms of POP. The details regarding the age at the onset of genito-urinary symptoms, parity status, obstetric information and degree of POP were analysed and recorded.
Results: Majority of the cases were manual labourers and farmers (70.1%). Majority of them 75.4% presented at 46-60 years of age. In adequate birth spacing was noted in 33.33% cases. Deliveries conducted by untrained personnel were noted in 22.8% patients. History of prolonged labour was there in 21%. Most of the cases presented 78.9% as III rd degree U.V. prolapse with cystocele and/or enterocele. 42.1% patients had stress urinary incontinence. Hysterectomy with pelvic floor repair (PFR) was done 78.9% patients, tension free transobturator tape (TOT) repair with or without PFR was done in 15.7% patients. In the remaining 5.26% cases conservative management was advised.
Conclusion: POP is one of the major urogynecologic problems in older rural women. Referral to pelvic floor clinics for multidisciplinary care can help in dealing the complex condition carefully in a simpler way for the benefit of the patients.
Keywords: Pelvic organ prolapse, POP, TOT, TOT with Cystocoele repair, Hysterectomy, Pelvic floor repair, PFR.