TMSS Medical College Journal

Background: Pelvic organ prolapse is the common clinical problem met in day to day gynaccological practice specially amongst the parous women both in developed and developing countries. It affects the quality of life of many women during their pre-menopausal and post- menopausal life. Objective: This study was under taken to evaluate the incidence of pelvic organ prolapse in women of Thangamara, Bogra. Methodology: This prospective study was carried out in the Department of Obstetrics and Gynaecology of TMSS Medical college & Rafatullah Community Hospital, Thangamara, Bogra from January to December 2013. A composite Lh. y Hospi), Thangan a A Toads done to arrive at a correct diagnosis. Results: 200 patients of pelvic organ prolapse admitted in the hospital were enrolled in the discussion. In this study the age group was between 25 to 60 years. A total of 178 patients had 27 degree uterine prolapse (89%), Decubitus ulcer in 40 cases (20%). Vaginal hystrectomy with anterior colporrhaphy with or without posterior coloperineorrhaphy was the main method of surgical treatment. Conclusion: This study suggests that the pelvic organ prolapse is the sequelac of obstetrical trauma due to repeated child birth and can be reduced by taking proper antenatal, intranatal and post natal cares.

Prolapse, procidentia from the latin word procidere, to fall or down ward descent of the vagina and uterus. Vaginal prolapse can occur without uterine prolapse but the uterus cannot descent without carrying the upper vagina with it!. Clinically pelvic organ prolapse broadly grouped into two- (I) Vaginal prolapse (II) Uterine prolapse (uterovaginal prolapse). But to address the problems, the International Continence Society has approved a new system, The Pelvic Organ Prolapse Quantification Staging System (POP-Q) that Standardizes terminology of female Pelvic organ prolapse.’ In Bangladesh, pelvic organ prolapse appears to be wide spread, but a little published evidence exist. The most commonly perceived causes of prolapse reported were heavy household and physical works during pregnancy and soon after delivery and lifting heavy weight. Lack of skill birth attendant during delivery, frequent conceiving, giving birth too many children, inadequate antenatal and postnatal cares with lack of nutritious food were also responsible. In this study, it was seen that most of the patients complained feeling of something coming down per vagina while she was moving about, excessive whitish or sometimes blood stained discharge per vagina. There are various modalities of treatment of pelvic organ prolapse such as preventive, conservative and surgery’# Preventive and conservative managements were not indicated for these patients and surgery was the treatment of symptomatic prolapse.