Urinary Complication Following Cystocele Repair in Pelvic Organ Prolapse

Abstract

Aims: Pelvic organ prolapse is a common condition in our country which affects the quality of life of many women. After vaginal operations for genital prolapse, there is increased chance of urinary tract infections, retention of urine and re-catheterization.The objective of this study is to evaluate women with cystocele in terms of clinical profile, different modalities of treatment and the complication following repair.Methods: It is a descriptive study carried out amongst 80 cases of cystocele irrespective of associated uterine descent and stress incontinence of urine in College Of Medical Sciences – Teaching Hospital, Nepal from 1/9/201l to 30/10/2013.Results: During the study, 80 women with cystocele were enrolled. Majority of the women (66.3%, n =53) with cystocele were within 15 to 45 years and 53.8% (n=43) of them had parity beyond 5. Among these women, 51.4% (n=41) had second degree cystocele and 23.8% (n=19) had stress urinary incontinence. Majority of the women (58.8%, n=40) underwent vaginal hysterectomy with pelvic floor repair. Following surgery, the most common complication was urinary tract infection (14.7%, n = 10).Conclusions: In this study, majority of the cases with cystocele were in the reproductive age with parity beyond 5 while maximum number of the women with cystocele had associated third degree uterocervical descent. Urinary tract infection was the commonest complication following surgical treatment followed by retention of urine.

Determinants of pelvic organ prolapse at public hospitals in Hawassa city, Southern Ethiopia, 2020: unmatched case control study

“…It is a result of anatomic support defect of the pelvic viscera caused by combined series of long term failure of pelvic floor muscle, connective tissue and pubococcygeal portion of the levator ani muscle which leads to defect of supporting and suspension mechanisms of the uterus and the vaginal wall ending in downward displacement of structures that are normally located adjacent to the vaginal vault [3,4]. POP has been a major health concern throughout the Open Access *Correspondence: bezabihterefe898@gmail.com world affecting millions of reproductive and menopause aged women with estimated lifetime prevalence of 30.0% to 50.0% [5], commonly affecting elderly and multiparous women than those under the age of 45 years (2-20% and 39.8%) covering estimated global prevalence of 2.9%-20% [6] Due to the harsh environment related to socioeconomic, geographic and institutional factors, the burden of POP has been significant in developing countries than developed countries. The incidence of POP in low and middle income countries was 19.7% with the range of 3.4%-56.4% [7].…”

“…The incidence of POP in low and middle income countries was 19.7% with the range of 3.4%-56.4% [7]. In Nepal, more than 600,000 women suffer from POP and 200,000 women require pelvic surgery for genital prolapse [5]. About (12%) in Ghana, 46% in Gambia and 37.5 in Nigeria per 1000 gynecological admission were suffered from POP [6,8,9] The burden of POP in Ethiopia is high with estimated prevalence of 23.52% [10].…”

Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study

“…Its estimated lifetime prevalence in porous women ranges from 30.0% to 50.0%. 3,[5][6][7] The worldwide prevalence of POP is reported to be around 9%, 8 but it is estimated to be higher, approximately 20%, in low-income countries. 9 Sub-Saharan Africa sees a high prevalence of genital and uterine prolapses among women of reproductive age, posing a significant health risk, particularly for nutritionally vulnerable populations.…”

Determinants of Pelvic Organ Prolapse at Public Hospitals in Hawassa City, Southern Ethiopia, 2020: Unmatched Case Control Study

“…It is a result of anatomic support defect of the pelvic viscera caused by combined series of long term failure of pelvic oor muscle, connective tissue and pubococcygeal portion of the levator ani muscle which leads to defect of supporting and suspension mechanisms of the uterus and the vaginal wall ending in downward displacement of structures that are normally located adjacent to the vaginal vault (3,4). POP has been a major health concern throughout the world affecting millions of reproductive and menopause aged women with estimated lifetime prevalence of 30.0-50.0% (5), commonly affecting elderly and multiparous women than those under the age of 45 years (2-20% and 39.8% ) covering estimated global prevalence of 2.9%-20%(6) Due to the harsh environment related to socioeconomic, geographic and institutional factors, the burden of POP has been signi cant in developing countries than developed countries. The incidence of POP in low and middle income countries was 19.7% with the range of 3.4%-56.4% (7).…”

“…The incidence of POP in low and middle income countries was 19.7% with the range of 3.4%-56.4% (7). In Nepal, more than 6,00,000 women suffer from POP and 2,00,000 women require pelvic surgery for genital prolapse (5). About (12%) in Ghana, 46% in Gambia and 37.5 in Nigeria per 1000 gynecological admission were suffered from POP(6, 8, 9)…”