Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Abstract

SUMMARYObjective: To determine the prevalence, social demographic characteristics and types of pelvic organ prolapse that patients present with at the Tamale Teaching Hospital (TTH). Methods: A descriptive study of pelvic organ prolapses at the Tamale Teaching Hospital from 1 st January 2010 to 31 st December 2011. Results: The 118 pelvic organ prolapse cases constituted (2.68%) of the 4403 gynaecological out-patient cases seen during the two year study period. The mean age and standard deviation was (45.9± 15.1) and the modal age group was 30-39 years with 32 (27.1%) of cases. There were 112 (94.9%) cases of uterine prolapse, 95 (80.5%) had cystocele, 16 (13.5%) patients had rectoceles and 3 (2.5%) had enterocele. Their main occupations were trading 66 (55.9%) and farming 44 (37.3%), seventy (62.5%) of the patients with uterine prolapse were premenopausal while (10) 14.3% of the premenopausal cases had an ongoing pregnancy. The parity ranged from zero to 13 with mean and standard deviation of (4.4±1.7). Fifty five (46.6%) were from the Tamale metropolis and only 12 (10.5%) had all their deliveries in hospital. The commonest complication was decubitus ulcer present in 20 (16.9%) patients, 16(80%) of it in patients with procedentia. Conclusion: Pelvic organ prolapse is not a rare gynaecological condition at the Tamale Teaching Hospital. The patients are relatively young and are from various districts in the northern region. Some occupational, socio-cultural practices and reproductive characteristics may be contributory to severity of pelvic organ prolapse.

Evaluation of intersystem agreement between standard pelvic organ prolapse quantification system and simplified pelvic organ prolapse scoring system

“…Elvis et al reported the similar findings. 16 In our study in POPQ system prolapse stage 1,2,3 and 4 were demonstrated in 5 (4%), 15 (12%), 67 (53.6%) and 38 (30.4%) women respectively. The corresponding distribution were 6 (4.8%), 21 (16.8%), 62 (49.6%) and 32 (28.8%).…”

Prevalence and factors associated with pelvic organ prolapse among pedestrian back-loading women in bench Maji Zone

“…It may result from a series of long term failure of the supporting and suspension mechanisms of the uterus and the vaginal wall (1). The defect in the support structures results in downward displacement of structures that are normally located adjacent to the vaginal vault (4)…”

The effect of peer education to anxiety of teenagers in post menarche in sub district Kasihan Bantul, Indonesia

“…21 This is due to the menstrual cycle is not regular, spend a lot of blood and clot, experienced dysmenorrhoea. 5 Other research also states that the menstrual cycle is one of the factors causing anxiety postmenarche adolescents. 16 This research is also consistent with previous research, showed that 28.74% of adolescents have menstrual cycles routine, 3.45% had polymenorrhoea, 8.62% had a menstrual period more than 7 days, 22.99% teens spend a lot of blood during menstruation, 72.99% had dysmenorrhoea.…”

“…After one to two years after menarche will be more regular menstrual cycles. 5 With the information they got so make them aware and feel less anxious again to the conditions they are facing because it is still within normal limits.…”

“…5 Menarche and anxiety predicted as suicide in adolescents, behavior harmful to themselves, sexual abuse, drug used, smoked, alcohol and caffeine. 4,6,7,8 Anxiety is an individual response to unpleasant situation and experienced by all living things in everyday life, is a subjective experience of the individual and can't be observed directly, as well as an emotional state without a specific object.…”