English

Abstract

BACKGROUND : Utero-vaginal prolapse is a common condition in aged women and often they come to us with decubitus ulcer. Prolonged vaginal packing not only will heal the decubitus ulcer but also it may help in returning the normal rugosity of the vaginal skin. AIMS: To assess the role of prolonged moist vaginal packing in utero-vaginal prolpase. SETTINGS & DESIGN: It was an OPD based prospective study conducted at the gynecology OPD of College of Medicine & JNM Hospital, WBUHS, Kalyani, Nadia, West Bengal and Jawaharlal Nehru Institute of Medical Sciences, Porompat, Imphal, Manipur. METHODS & MATERIAL: Hundred (100) patients of utero-vaginal prolapse with decubitus ulcer were studied. After initial staging (POP- Q staging), daily moist (5% povidone-iodine solution soaked gauze) vaginal packing at home was advised. After 2 weeks, re-examination done for decubitus ulcer healing. Packing continued till operation (interval 1- 1½ month). Preoperative staging and modification of operation were noted. On follow up complication (mainly recurrence) was noted. RESULTS: Initial staging was stage 3 - 39%, stage 4 - 61%. Preoperative scoring revealed stage 3 became stage 2 in 54% cases and stage 4 became stage 3 in 49% cases. This improvement helped us to avoid excessive excision of vaginal mucosa. CONCLUSION: Prolonged pre-operative moist gauze vaginal packing may improve the outcome of the disease.