An Audit of Uterovaginal Prolapse in Enugu, Southeast Nigeria

OKEKE TC^1, , ANI VC¹, EZENYEAKU CCT¹, IKEAKO LC¹, ENWEREJI JO¹ and EKWUAZI K¹

¹Department of Obstetrics & Gynaecology, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria

Cite this paper:
OKEKE TC, ANI VC, EZENYEAKU CCT, IKEAKO LC, ENWEREJI JO and EKWUAZI K. An Audit of Uterovaginal Prolapse in Enugu, Southeast Nigeria. American Journal of Clinical Medicine Research. 2013; 1(1):23-25. doi: 10.12691/ajcmr-1-1-6

Abstract

A retrospective study of utero-vaginal prolapse to determine the frequency and determinants of uterovaginal prolapse, degrees and its complications at the University of Nigeria Teaching Hospital (UNTH) between January 1, 2005 and December 31, 2009. The prevalence of uterovaginal prolapse was 3.4%. Thirty three (66%) of them were postmenopausal. Multiparity was a significant determinant as 74% of them were grand-multiparous. The commonest symptom was ‘something coming down the vagina’ in 96% of the study subjects. Second degree prolapse was the commonest type of presentation (48%) and the definitive treatment modality was vaginal hysterectomy with pelvic floor repair (44%). Multiparity, prolonged labour and unsupervised deliveries are significant determinants. Uterovaginal prolapse is primarily a common gynaecological condition of the parous and elderly postmenopausal women associated with a decreased body image and quality of life. Education of women, women empowerment, effective antenatal care, supervised hospital deliveries, and limiting the family size by efficient contraception deserve priority attention to prevent this social malady.

Keywords:
Genital prolapse vaginal hysterectomy pelvic floor repair determinants Enugu – Nigeria

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