Frequency of Different Stages of Pelvic Organ Prolapse and Factors Leading to it

Abstract

Abstract: Introduction: Pelvic Organ Prolapse (POP) is an important gynecological morbidity. An increasingly popular classification system for this disease is the Pelvic Organ Prolapse Quantification System (POP-Q). This study was intended to initiate an information campaign, preventive care management and early treatment to reduce this public and social health problem. Subject and Methods: A Cross sectional study was carried out on 197 women with complaints of something coming out of vagina or heaviness in pelvis. General physical and standard pelvic examination in dorsal lithotomy position was performed for the diagnosis of pelvic organ prolapse. Results: Frequency of various stages of pelvic organ prolapse using Pelvic Organ Prolapse Quantification System (POP-Q) in women was observed as stage 0 (10.2%); stage I (9.69%); stage II (52.55%) and stage III (27.55%). Rate of stage of pelvic organ prolapse was also not significant with parity, menopausal status and hormone replacement therapy while effect of increase abdominal pressure on the POP-Q stage was also statistically significant (p=0.0005). Conclusion: In conclusion, increased abdominal pressure and overweight clearly confers a risk for pelvic organ prolapse. Risk factors (age,
parity, menopausal status and hormone replacement therapy) may influence the stages of POP, however the relationship between these factors and different stages has not been clearly understood.