Pelvic organ prolapse in peri urban area of Karachi

ABSTRACT

To study prevalence, presentation and management of utero vaginal prolapse in Lyari [a periurban area of Karachi] A cross sectional study The study was conducted in Gyn/Obs department of Lyari General Hospital from 1st July 2005 to 30th June 2006. During this period 40 gynae admissions were cases of utero vaginal prolapse. After detailed history, examination and initial work up planned surgery was performed. All patients were followed in OPD after 6 weeks of operation During 1 year study period out of 376 gynae admissions 40 were cases of uterovaginal prolapse. So prevalence of utero vaginal prolapse in Lyari is 9.4. All were OPD admissions except 1 with incarcerated prolapse admitted through emergency. Around 50% were >50 years of age and 75% were grandmultipara. Main presenting complaint [100%] was vaginal protrusion. vaginal hysterectomy with anterior and posterior repair was done in 62.6%. Median length of stay was 5-7 days. Very few cases had intraoperative and postoperative complications. None had mortality