RISK FACTORS FOR VAGINAL PROLAPSE AFTER HYSTERECTOMY

Abstract

Objective:- To identify risk factors for pelvic organ prolapse and their influence on the occurrence of vaginal prolapse after hysterectomy. Methods:- Medical records from 2 groups of women who had undergone hysterectomy were reviewed retrospectively. The study group of 82 women who had undergone surgery for vaginal prolapse i.e. hysterectomy,the control group was 124 women who had undergone hysterectomy with no diagnosis vaginal prolapse at the time of study. All hysterectomy procedures had been performed for benign gynaecological disease, including POP. Both groups of women completed a self-administered questionnaire to obtain additional information on the occurrence of POP. Results:- the incidences of vaginal prolapsed after hysterectomy was significantly higher in women with a higher number of vaginal deliveries,more difficult deliveries,fewer caesareans,complication after hysterectomy, heavy physical work,neurological disease,hysterectomy for pelvic organ prlapse and/or family history of pelvic organ prolapse. Premenopausal women had vaginal prolapse corrected an average of 16 years after hysterectomy, and postmenopausal women 7 years post hysterectomy. Conclusion:- Before deciding on hysterectomy as the approach to treat a women with pelvic floor dysfunction, the surgeon should evaluate these risk factors and discuss then with the patient