Schaaf Jelle M, Dongol Anjana, van der Leeuw-Harmsen Loes
University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jun;19(6):851-5. doi: 10.1007/s00192-007-0542-2.
Pelvic organ prolapse (POP) is a significant problem in Nepal. Surgical treatment is scarcely available and little is known of the results of POP surgery on women living under burdensome circumstances. The aim of our study was to set up a follow-up program in rural Nepal and evaluate POP surgery. In 2004 and 2006, 74 women with a POP from remote areas around Dhulikhel Hospital underwent prolapse surgery. Together with local contacts men, a plan was made to implement a follow-up program. All the operated patients were invited to a follow-up visit in March 2007. Thirty-three (45%) patients attended the follow-up: 85% (n = 28) found the effect of the procedure an improvement. A satisfactory anatomic outcome was found in 93% (n = 32). A remarkable finding was the reduction in physical labour after the surgical procedure in 50% of the follow-up cases. Some adjustments in the follow-up program may contribute to a higher participation.
盆腔器官脱垂（POP）在尼泊尔是一个严重问题。手术治疗很难获得，对于生活在重负之下的女性进行盆腔器官脱垂手术的结果知之甚少。我们研究的目的是在尼泊尔农村地区建立一个随访项目并评估盆腔器官脱垂手术。2004年和2006年，来自杜利凯尔医院周边偏远地区的74名患有盆腔器官脱垂的女性接受了脱垂手术。与当地联系人一起制定了实施随访项目的计划。所有接受手术的患者都被邀请在2007年3月进行随访。33名（45%）患者参加了随访：85%（n = 28）的患者认为手术效果有改善。93%（n = 32）的患者获得了满意的解剖学结果。一个显著的发现是，在50%的随访病例中，手术后体力劳动减少。随访项目中的一些调整可能有助于提高参与率。
