Abstract
Background and Aim: Pelvic organ prolapse (POP) is a common gynecological disorder that negatively affects women's quality of life, especially if it is severe. Its burden has increased because of increased in life expectancy. The aim of this study is to determine the prevalence, risk factors, and the factors associated with the development of severe POP in our environment. Materials and Methods: A retrospective review of cases of POP managed at the University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria, over 10 years (January 2010–December 2019). Information including sociodemographic and risk factors were obtained from the gynecological ward register, case files, and theater records using a pro forma designed for the study. Data analysis was done using the Statistical Package for the Social Sciences. Multinomial regression analysis was used to determine factors that are independently associated with severe POP. Results: The prevalence of POP is 1.8%. The majority of the patients, 73% (54/74) were grand multipara and 64.9% (48/74) were postmenopausal. Home delivery 83.8% (62/74) and difficult labor 73.0% (54/74) were found to be the common risk factors. In 41.9% (31/74) of the cases, the POP was severe. Multivariate analysis showed postmenopausal status OR 10.7 (95% CI 1.39–82.56, P = 0.023), heavy lifting OR 13.7 (95% CI 1.73–108.75, P = 0.013), age ≥50 years OR 22.4 (95% CI 1.26–397.08, P = 0.034), and being unmarried OR 16.2 (95% CI 2.22–118.64, P = 0.006) to be independently associated with severe POP. Conclusion: POP is not uncommon in our environment with about half of the patients having severe disease. Postmenopausal status, heavy lifting, age ≥50 years, and being unmarried were independently associated with severe POP.
Published Version
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