Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Directorate of Obstetrics and Gynecology, Mulago National Referral Hospital, Kampala, Uganda.
Afr Health Sci. 2023 Mar;23(1):410-416. doi: 10.4314/ahs.v23i1.43.
Pelvic organ prolapse (POP) is associated with negative physical, social, psychological, and sexual experiences. There is paucity of data in low and middle income countries like Uganda. The purpose of this study was to describe clinical characteristics and outcomes of patients undergoing surgery for POP from 2007 to 2016.
The study was conducted at Mulago National Referral Hospital from 2014 to 2016. We conducted a retrospective review of the urogynecology surgical records using a standardized medical record abstraction form. Data of 222 POP patients were abstracted and managed using REDCap. Analysis was performed using Stata statistical software, v14.
The mean participant age and parity was 57 years and 7 respectively. Ninety four percent of participants presented with a mass protruding from the vagina, 38% with uterine prolapse and 32% with cystocoele. Anaemia and hypertension were common comorbidities. Women underwent a variety of surgery types, and 35% experienced persistent pain post-operatively. At hospital discharge, 83% had achieved either complete resolution or improvement in their condition.
Measures encouraging presentation for care as soon as symptoms are experienced and reduction of total fertility rate will be beneficial. Patients with POP should be routinely screened for anaemia and hypertension.
盆腔器官脱垂（POP）与负面的生理、社会、心理和性体验有关。在乌干达等中低收入国家，数据匮乏。本研究的目的是描述 2007 年至 2016 年接受 POP 手术的患者的临床特征和结局。
该研究于 2014 年至 2016 年在穆拉戈国家转诊医院进行。我们使用标准化病历摘录表格对泌尿科手术记录进行回顾性审查。使用 REDCap 摘录和管理 222 名 POP 患者的数据。使用 Stata 统计软件 v14 进行分析。
参与者的平均年龄和产次分别为 57 岁和 7 岁。94%的参与者出现阴道突出肿块，38%有子宫脱垂，32%有膀胱膨出。贫血和高血压是常见的合并症。女性接受了各种手术类型，35%的人术后持续疼痛。出院时，83%的人病情完全缓解或改善。
鼓励一旦出现症状就进行治疗的措施和降低总生育率将是有益的。POP 患者应常规筛查贫血和高血压。
