Genitourinary Prolapse cases: our experience of managing in a low resource setting.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Background: Genitourinary prolapse is the herniation of pelvic organ through genital hiatus. It is not a very uncommon finding among perimenopausal and postmenopausal women attending our gynaecology OPD. Some of these patients came for treatment of this condition (moderate to severe degree), while rest were detected on routine gynaecological examination. Aim and objective: we did a retrospective analysis of these cases to see the sociodemographic characteristic, common predisposing factors and the treatment options available for them. Result and analysis: Commonest age group of patients with genitourinary prolapse cases in our hospital was between 45-65 years. Majority of them were married at teenage and had their 1st child at teenage. Majority of these women were from poor socioeconomic background and were housewives of a large family or labours in profession. They had to deliver at home in presence of a traditional birth attendant. They did not get adequate rest and nutrition following child birth. Average birth spacing of most of these women was less than 24 months. Commonest clinical presentation of these women was something coming out of the introitus and associates urinary symptoms as cystocele is commonly associated with uterine descent. These were mainly moderate to severe degree of prolapse. They were treated surgically with correction of fascial weakness and removal of uterus. Conservative management is not much useful for these patients.
Authors and Affiliations
Dr. Malabika Misra, Dr. Nayan sarkar, Dr. Chaitali sarkar, Dr. Gandhari basu
Keywords
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- EP ID EP401614
- DOI 10.9790/0853-1710036973.
- Views 70
- Downloads 0
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