A 10-year review of records of patients managed for pelvic organ prolapse at a University Teaching Hospital, in Northeast Nigeria.

Abstract

Pelvic organ prolapse (POP) is an important gynaecological condition as is associated with the deterioration of the quality of life of the patients. The aetiology is multifactorial and most women do not seek medical attention until symptoms become unbearable. Objective: To determine the prevalence of POP and assess the clinical presentation and management of patients with POP in our hospital. Methodology: A retrospective review of surgically managed cases of POP at the University of Maiduguri st st Teaching Hospital from 1 January 2010 to 31 December 2019. Data analysis was done using SPSS version 25 and the results were expressed as percentages Results: The prevalence of surgery for POP was 4.3% of major gynaecological surgical surgeries. The majority of the patients were at least 40 years old (56.8%) and grandmultiparas (72.9%). The most common presenting complaint was something coming down the vagina (93.2%) and the commonest risk factor was unsupervised home delivery (83.8%). The most common type
of POP was UV prolapse (67.6%), and the most common surgical treatment offered was a vaginal hysterectomy and pelvic floor repair. Conclusion: Advanced maternal age, grandmultiparity and unsupervised home delivery were some of the risk factors for POPin this study. Supervision of delivery by a skilled birth attendant with the use of a partograph can prevent this important gynaecological condition.