Main Article Content
Pelvic Organ Prolapse in Lagos, Nigeria
Abstract
Background
Although not a life threatening condition, pelvic organ prolapse can affect a woman’s quality of life by limiting physical, social, psychological and sexual functions. There is paucity of
publication on the subject in Nigeria. We determined the incidence, pattern of presentation, factors determining treatment modalities and complications associated with surgical
management of pelvic organ prolapse at the Lagos State University Teaching Hospital.
Methods
Retrospective review of all cases of pelvic organ prolapse managed between 1st January 1999 and 31st December 2008 was done. Data was analyzed using the Epi info version 3.5
statistical software of the Centre for Disease Control and Prevention, Atlanta, USA.
Results
The incidence of pelvic organ prolapse in this study was 0.74 per 1000 gynaecological consultations. The majority of the subjects were above 40 years and 64% were grandmultipara. The commonest presenting symptom was protrusion from the vagina which occurred in 96% of the subjects. Vaginal hysterectomy and pelvic floor repair was the commonest mode of management and was associated with higher post operative morbidity than other procedures.
Conclusion
Older and grand multiparous women are the principal sufferers of pelvic organ prolapse. Prevention through modification of obstetric risk factors, provision of adequate maternity
care and family planning services is recommended.
Key Words: pelvic organ prolapse, Lagos, Vaginal Hysterectomy.
Although not a life threatening condition, pelvic organ prolapse can affect a woman’s quality of life by limiting physical, social, psychological and sexual functions. There is paucity of
publication on the subject in Nigeria. We determined the incidence, pattern of presentation, factors determining treatment modalities and complications associated with surgical
management of pelvic organ prolapse at the Lagos State University Teaching Hospital.
Methods
Retrospective review of all cases of pelvic organ prolapse managed between 1st January 1999 and 31st December 2008 was done. Data was analyzed using the Epi info version 3.5
statistical software of the Centre for Disease Control and Prevention, Atlanta, USA.
Results
The incidence of pelvic organ prolapse in this study was 0.74 per 1000 gynaecological consultations. The majority of the subjects were above 40 years and 64% were grandmultipara. The commonest presenting symptom was protrusion from the vagina which occurred in 96% of the subjects. Vaginal hysterectomy and pelvic floor repair was the commonest mode of management and was associated with higher post operative morbidity than other procedures.
Conclusion
Older and grand multiparous women are the principal sufferers of pelvic organ prolapse. Prevention through modification of obstetric risk factors, provision of adequate maternity
care and family planning services is recommended.
Key Words: pelvic organ prolapse, Lagos, Vaginal Hysterectomy.
