Audit of Pelvic Organ Prolapse at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeastern Nigeria (2019–2023)
Chijioke Ogomegbulam Ezeigwe, Daniel Chukwuocha, Gbenga Olorunfemi, Jerome Okudo, Arinze Ikeotuonye, Golibe Ikpeze, Mbanefo Okeke, John Chukwuebuka Nkesi, Onyecherelam Monday OgelleAbstract
Background:
Pelvic organ prolapse (POP) can lead to reduced quality of life among postmenopausal women. It is a condition in which the supporting structure of the pelvic floor of a woman becomes dysfunctional.
Materials and Methods:
This was a retrospective descriptive study of all POP cases managed at Nnamdi Azikiwe University Teaching Hospital, Nnewi, a tertiary care hospital in Southeastern Nigeria from January 2019 to December 2023. The case files of the women who were diagnosed with POP were obtained from the Medical Records Department of the hospital based on data extracted from the Gynaecology Clinic and Theatre Register. Data were compiled using Microsoft Excel and analysed using Statistical Package for the Social Sciences version 26. Descriptive statistics were conducted.
Results:
During the study, 3100 gynaecological cases presented at the hospital and 60 POP cases were seen, giving a prevalence of 1.94%. The mean age of women with POP was 56 ± 14.43 years, and median parity was 5 (2–7). The majority of the patients were postmenopausal (82.9%). The commonest presenting complaint was protrusion through the vagina (54.3%), while 25.7% of patients presented with protrusion through the vagina as well as urinary symptoms. Second-degree (34.3%) and third-degree (42.9%) POP were commonly diagnosed. The most common risk factor was grand-multiparity (57.1%). Vaginal hysterectomy and pelvic floor repair (57.1%) were the most common procedures performed.
Conclusion:
The prevalence of POP among women from this study was 1.93%. Grand-multiparity is a common risk factor identified in our centre.