Pelvic organ prolapse(POP) managed at Jos University Teaching Hospital, Jos Nigeria (JUTH):a 10-year review

Abstract

OBJECTIVE:

To determine the incidence, social demographic characteristics, types and management modalities of pelvic organ prolapse that patients presented with at JUTH Jos,Plateau state Nigeria.

METHODS:

A descriptive study of pelvic organ prolapse at JUTH from 1^st January,2012 to 31^st December,2021 was done.The data was analysed using SPSS version23.The general characteristics of the study population were determined using descriptive statistics. Test of significance was set at P value <0.05

RESULTS:

The 484 pelvic organ prolapse patients constituted (1.5%) of the 33242gynaecological out-patient attendees seen during the study period. The mean age of the patients was (51.66± 12.31).There were 308(63.6%) patients with uterine prolapse,224(46.3%) had cystocele,91(18.8%) patients had rectoceles.Their main occupations were housewife 146 (30.8%) and farming 137(28.3%).The parity ranged from zero to 12 with mean of 5.8±2.9. Post menopause(68.3%) constitutes the highest risk factor followed by chronic intraabdominal pressure(38.4%) while a combination of more than two risk factors was seen in 66.1% of the women.

Out of the 484 patients seen, 42.8%(207/484) received treatment. Non-surgical treatment was the only treatment modality offered to 15.1% (73/484) of the patients while surgery was performed on 16.9%(82/484). The likelihood of early presentation(<6months of presentation to hospital with symptoms) was higher among women who were nulliparous, students, civil servants and  possession of tertiary education as compared to multiparous, housewives, farmers and no education.

CONCLUSION:

Pelvic organ prolapse was seen amongst 1.5% of the gynaecological patients at JUTH.. Strategies for early presentation to the hospital by these women and early health care is advised