scholarly journals Pelvic Organ Prolapse: From Basics to Newer Evolutions in Surgical Management of Uterine Prolapse

2021 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Jaideep Malhotra ◽  
Ruchika Garg
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Uterine Prolapse ◽  
Pelvic Organ

scholarly journals Is it worth preserving the uterus? unanticipated pathology in hysterectomy for pelvic organ prolapse (POP)

2018 ◽  
Vol 7 (10) ◽  
pp. 4145
Author(s):  
Deeksha Pandey ◽  
Pranadeep Reddy Inukollu ◽  
Jyothi Shetty ◽  
Shripad Hebbar ◽  
Muralidhar V. Pai ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Vaginal Hysterectomy ◽  
Uterine Prolapse ◽  
Patient Characteristics ◽  
Pelvic Organ ◽  
Histopathological Diagnosis ◽  
Uterine Preservation ◽  
Pelvic Floor Repair

Background: In recent years concept of uterine conservation has been increasing at the time of surgical management of pelvic organ prolapse (POP). This study was intended to assess the risk of premalignant and malignant uterine/endometrial, and cervical pathology at the time of hysterectomy-based POP procedures, to better understand the risks of uterine conservation in the surgical treatment of POP in Indian setup.Methods: Patients who had undergone vaginal hysterectomy for POP in last five years were identified by medical record tracking using ICD-9 codes. Case records then were reviewed to collect patient characteristics and the final histopathological diagnosis of the hysterectomy specimen. Cases with premalignant or malignant uterine/endometrial or cervical pathology recognized prior to surgery were excluded.Results: A total of 573 women who underwent vaginal hysterectomy and pelvic floor repair for the sole indication of POP were included. On analyzing the histopathological diagnosis of the specimen obtained during surgery in 57.1% of cases the findings were consistent with the changes seen in cases of POP. Only 5.9 % of cases had cervical or endometrial pathologies who would have required treatment/follow up in future if the uterus was left in situ.Conclusions: The risk of missing a malignant and premalignant cervical or uterine pathology in women presenting with uterine prolapse is low if appropriate preoperative workup has been done. Uterine preservation in surgical management of POP could be considered an option.

scholarly journals Laparoscopic cervicopexy in uterine prolapse, a prospective study

2019 ◽  
Vol 8 (9) ◽  
pp. 3492
Author(s):  
Anu Aliyar ◽  
Saphina Palakkan ◽  
Abdul Vahab ◽  
Mumtaz P.
Keyword(s):  
Pelvic Organ Prolapse ◽  
Postoperative Complications ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Synthetic Mesh ◽  
Medical College ◽  
Younger Age ◽  
Effective Option ◽  
Mersilene Tape ◽  
A Prospective Study

Background: Pelvic organ prolapse is a common condition and a major cause of gynecological surgery. The lifetime risk of having an operation for prolapse may be 11%. Uterine conserving surgeries using synthetic mesh, especially in younger age group can restore normal anatomy relieving their pelvic symptoms. To evaluate the safety, intra operative and postoperative complications and efficacy of the laparoscopic cervicopexy.Methods: This Prospective observational study was carried out on women aged below 45 years attending gynaecology outpatient department with uterine prolapse at MES Medical College, Perinthalmanna between January 1st and December 31st, 2015. 39 women underwent laparoscopic cervicopexy and follow up assessments was done among them at 2 weeks, 3 months and 6 months. Results: The mean operative time was 27.6 minutes and blood loss was 0.4 gm/dl. No intraoperative and postoperative complications occurred. Short duration of hospital stay with mean of 1.4 days. 7.7% patients and 5.5% had mersilene tape reaction at 3 months and 6 months. The POP Q score C was significantly away from hymen at 2 weeks,3 months and 6 months (+4.4 - -4.3). 7.7% and 2.6% had recurrence at 3 month and 6 months. 5.1% underwent vaginal hysterectomy to get relieved from symptom.Conclusion: Laparoscopic cervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.

scholarly journals Pelvic Organ Prolapse in Countries of Different Economy: A Systematic Review

2019 ◽  
Vol 14 (2) ◽  
pp. 7-21
Author(s):  
Shishir Paudel ◽  
Anisha Chalise ◽  
Ganesh Dangal ◽  
Tulsi Ram Bhandari ◽  
Gehanath Baral
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Pelvic Organ Prolapse ◽  
Uterine Prolapse ◽  
National Income ◽  
Significant Risk ◽  
Pelvic Organ ◽  
Reference List ◽  
Medical Subject Headings ◽  
Pubmed Database

Aims: This review was done to identify the reported prevalence rate of pelvic organ prolapse among the different world populations. Methods: Systematic review of Pelvic Organ Prolapse (POP) using the PRISMA checklist; PubMed database was searched on reportingthe prevalence of POP and its management measures in January 2020. Medical Subject Headings (MeSH) like "Pelvic Organ Prolapse"OR "Uterine Prolapse" OR “Vaginal Wall Prolapse” OR "Cystocele"AND "Prevalence [key word/s]" were used. Additional articles were identified through the reference list of the retrieved articles. Results: Out of 91 screened articles, 46 full articles were eligible and only 15 satisfied by selection criteria for the systematic review.The methodological score rated for the quality of studies is 4.5±1.7 (range=2-7) out of 8 points. The mean prevalence of POP diagnosis was 40%; with 42.44% in low and lower-middle-income countries,and 35.56%in upper-middle and high-income countries. Increasing age and parity, body mass indexand fetal macrosomia were found to be the significant risk factors irrespective of the country’s economy. Conclusions:The low and lower-income countries have almost twice the burden of prolapse than the countries of the higher economy. The major risk factors associated with prolapse remain common in all countries irrespective of national income or development.  

scholarly journals Clinical epidemiological study of uterine prolapse

2018 ◽  
Vol 8 (1) ◽  
pp. 79
Author(s):  
Parvathavarthini K. ◽  
Vanusha A.
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Social Issues ◽  
Uterine Prolapse ◽  
Epidemiological Data ◽  
Pelvic Organ ◽  
Life Threatening ◽  
The Mean ◽  
Awareness Programme

Background: Pelvic organ prolapse is one of the common gynaecological problem in India among the parous and aged women. Though the pelvic organ prolapse is not life threatening if left untreated it can lead to many social issues and also it reduces the quality of life of a woman. Thus, this study aims at generating epidemiological data on uterine prolapse in a clinical setting and identifying its risk factors so that appropriate measures can be taken to prevent the same.Methods: It was a descriptive case control study. Using a study proforma the required information was collected from the patients admitted with uterine prolapse (case) and from amongst the patient’s attendees of Gynaecology ward (control). Obtained data were compared and analyzed using appropriate statistical methods.Results: Uterine prolapse contributes to about 5.9% of the total gynecological patients admitted during the study period. The mean age of presentation with uterine prolapse was 50.1years the mean number of deliveries was higher in case compared to the control with the mean of 4 deliveries. Out of 130 patients, only 13.9% of them had institutional delivery while the others had home delivery.Conclusions: Uterine prolapse is strongly associated with age, parity and place of delivery. As the risk factors for uterine prolapse are easily preventable public health awareness programme must be conducted on its risk factors there by reducing the incidence of prolapse and decreasing the morbidity caused by it.

Surgical Management of Pelvic Organ Prolapse in Ethiopian Women

2020 ◽  
Vol 26 (2) ◽  
pp. e7-e12
Author(s):  
Kimberly Kenne ◽  
Melaku Abreha ◽  
Kyle D. Hart ◽  
W. Thomas Gregory ◽  
Rahel Nardos
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Pelvic Organ
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