ABSTRACT

Aim: To determine the frequency and symptoms of pelvic organ prolapsed in women with complaints of heaviness in pelvis and abnormal vaginal discharge.

Study Design: Cross-sectional/Observational study Place and Duration: Study was conducted at Obstetrics and Gynecology department of Combined Military Hospital, Peshawar for six months duration from April, 2020 to September, 2020.

Methodology: Total 150 patients were presented in this study. Patients details demographics, age and body mass index were recorded after taking informed written consent. Patients were aged between 18-60 years. Patients who had complaints of heaviness in pelvis and abnormal vaginal discharge were enrolled. Frequency and pelvic symptoms in women with pelvic organ prolapse were measured by using Organ Prolapse Quantification System (POP-Q) at 3-stages. Complete data was analyzed by SPSS 22.0 version.

Results: Mean age of the patients was 42.22 ± 17.48 years with mean BMI 24.4 ± 4.84kg/m2. Average time of labour was 14.22 ± 11.84. Frequency of pelvic organ prolapse at stage I was 19 (12.7%), at stage II was 82 (54.7%) and at stage III was 49 (32.7%). 85 (56.7%) women had multiparity, 55 (36.7%) had grand multiparity and 10 (6.7%) had primipara. Among menopausal status, frequency of pre-menopausal was 97 (64.7%) and post-menopausal status was among 53 (35.3%). Frequency of increased abdominal pressure was among 67 (44.7%) patients. Hormone replacement therapy was done among 13 (8.7%).

Conclusion: We concluded in this study that the danger of pelvic organ prolapse is clear from the abdominal pressure and overweight. Measures should be taken to deliver health care for women to reduce the burden of disease.

Keywords: Pelvic organ prolapse, POP-Q system, Menopausal status, Hormone replacement therapy, Abdominal pressure