An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria

2020 ◽  
Vol 29 (2) ◽  
pp. 265
Author(s):  
MaradonaE Isikhuemen ◽  
KennethC Ekwedigwe ◽  
Ileogben Sunday-Adeoye
2015 ◽  
Vol 12 (1) ◽  
pp. 55-56
Author(s):  
P Basnet ◽  
A Agrawal ◽  
A Thakur ◽  
D K Uprety ◽  
R Bhatta ◽  
...  

Vesical calculus associated with uterovaginal prolapse is very rare. We report a case of a 70–year –old multiparous lady with third degree uterovaginal prolapse for twenty years .Presence of multiple vesical calculus in the cystocele was noted on ultrasonography and x-ray pelvis while undergoing investigation for acute urinary retention. Vaginal hysterectomy with pelvic floor repair followed by suprapubic cystolithotomy was done in the patient. Multiple vesicle calculus were removed. Post operative course was uneventful. Bladder outlet obstruction resulting from prolapse is suspected to be the inciting factor in stone formation though the casual relationship between prolapse and vesical calculus is not established.DOI: http://dx.doi.org/10.3126/hren.v12i1.11989Health Renaissance 2014;12(1):55-56


Author(s):  
Nanthini Saravanan ◽  
Emily Divya Ebenezer ◽  
Vaibhav Londhe ◽  
Lilly Varghese ◽  
Aruna N. Kekre ◽  
...  

Background: Primary objective of this work was to study the prevalence of voiding and defecatory dysfunction in women with pelvic organ prolapse and correlate the stage and compartment of prolapse with voiding and defecatory dysfunction. The secondary objective was to correlate stage of prolapse with flow rate and post void residue and to study the voiding dysfunction in pelvic organ prolapse.Methods: A prospective observational cohort study in 120 post-menopausal women scheduled for vaginal hysterectomy pelvic floor repair. Short form of pelvic floor distress inventory (PFDI-20) and International prostate symptom questionnaire I-PSS score for Lower urinary tract symptoms (LUTS)was employed.Results: The prevalence of voiding dysfunction in this study was 78% and defecatory dysfunction was 77%. Higher stage of prolapse had significant correlation with voiding dysfunction. (P value was 0.028). Women with posterior compartment defect had more voiding dysfunction with the significant P value (p value was 0.04). Pre-operative voiding dysfunction resolved post operatively in 86%, the p<0.000 which was highly significant.Conclusions: Women with pelvic organ prolapse had high prevalence of voiding and defecatory dysfunction. Stages of prolapse have positive correlation with voiding dysfunction. Pre-operative voiding dysfunction resolved after vaginal hysterectomy and pelvic floor repair.


2014 ◽  
Vol 3 (2) ◽  
pp. 51-53
Author(s):  
Ashma Rana ◽  
Geeta Gurung ◽  
Neeva Ojha ◽  
Sapana Amatya ◽  
Sandesh Poudel ◽  
...  

A huge ovarian cyst, twice tapped and existing for 15 year, longest duration ever reported in literature and for the last seven years complicated by uterovaginal prolapse is reported here to give an idea about the reproductive morbidity status of socially deprived or underprivileged Nepalese woman in rural community. Abdomino-vaginal surgical approach was combined to drain 16 liters of fluid from the ovarian cyst and excise the tumor capsule by initiating hysterectomy abdominally including the steps up to the ligation of uterine artery thereafter completing the procedure vaginally by taking over the cardinal ligaments, thus facilitating delivery of uterus with its appendages with pelvic floor repair for third degree uterovaginal prolapse. DOI: http://dx.doi.org/10.3126/njog.v3i2.10833 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 51-53


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