Determinants and treatment modalities of uterovaginal prolapse: A retrospective study

Abstract

Introduction: Prevalence of uterovaginal prolapse is increasing with increase in life expectancy of women. The reported prevalence of uterovaginal prolapse is different in different countries. Various studies have been reported on the prevalence, determinants, clinical manifestations and treatment modalities of uterovaginal prolapse. Objectives: Determine the prevalence of uterovaginal prolapse, identify determinants of uterovaginal prolapse, its clinical manifestations and describe different treatment options. Study Design: Retrospective study done on uterovaginal prolapse at Indira Gandhi Medical College and Research Institute in Puducherry in India from January 1, 2014 to December 31, 2014. Results: The mean age of the patients in our study was 57.5. 87.3%belonged to the Hindu religion. 77% of women with prolapse were post-menopausal. 86.2% of women were multiparous. The predominant presenting complaint was history of mass protruding out of vagina. Non-surgical treatment was offered for 33.7%. Vaginal hysterectomy with pelvic floor repair was the predominant surgical treatment offered. Conclusion: Prolonged labor and vaginal delivery involving sphincter and vaginal tear are the main determinants of uterovaginal prolapse. Modifiable risk factors warrant health programs to develop interventions targeting the prevention of uterovaginal prolapse.