Assessment of Risk Factors and Outcome of Operative Procedures of Genital Prolapse

Résumé

Introduction: Genital Prolapse is a common gynecological problem, especially in developing countries. There is a scarcity of information on genital prolapse in our country and research works based on post-operative outcomes are very few. So, this study aimed to analyze the risk factors & outcome of operative procedures of genital prolapse. Methods and materials: This cross-sectional study was conducted at the Department of Obstetrics and Gynecology Department of Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh. The study was conducted from July 2019 to December 2019. All data was collected by interview, physical & lab examination using a structured questionnaire containing all the variables of interest. After data collection, statistical analysis was done by statistical package for social science (SPSS) software. Result: It was observed that history of abdominal surgery was found in 6(6%) patients, vaginal delivery was found in 100 (100%) patients, home delivery was in 90 (90%), the majority 44(44%) patients had prolonged labor during delivery, and 2% had instrumental delivery. In this study, 80(80%) patients had 2^nd degree of uterine prolapses, 15(15%) patients had 1^st degree & only 5(5%) patients had 3^rd degree of uterine prolapses. Conclusion: The study concluded that most of the cases of genital prolapse were acquired in nature and mainly related to childbirth injuries. The patients with genital prolapse mostly were in the 6^th decade. Moderate cystocele, moderate rectocele, and urethrocele stress incontinence were more frequent conditions of the patients.