Clinical Profile and Indications for Surgery among Women Undergoing Operative Management for Pelvic Organ Prolapse at Paropkar Maternity and Women’s Hospital, Nepal

Abstract

Introduction: ePelvic organ prolapse is a significant gynecological concern, especially among menopausal and perimenopausal women in Nepal. This study examines the distribution of pelvic floor defects and associated risk factors among women undergoing surgery for pelvic organ prolapse.

Methods: A retrospective study was conducted on 208 women who underwent surgery for Pelvic Organ Prolapse (POP) at Paropkar Maternity and Women’s Hospital (PMWH) from November 2023 to October 2024. Data included age, parity, BMI, menstrual status, comorbidities, risk factors, symptoms, compartment involvement, and surgical procedures. Statistical analyses were performed using SPSS 29, with Chi-square and T-tests for significance.

Results: The most common age group requiring surgical intervention was 60–64 years (26.44%), the majority being menopausal (83.1%). Advancing age and high parity for vaginal birth were statistically significant risk factors (P <0.01). Most patients (59.1%) had normal BMI and urinary symptoms were present in 89.4%, with straining during micturition being the most common (83%). The majority of the patients had multicompartment involvement. Vaginal hysterectomy with anterior and posterior colporrhaphy remains the common surgical procedure for women with pelvic organ prolapse (73.6%).

Conclusion: Menopause, advanced age, and high parity are strongly associated with pelvic organ prolapse. Multicompartment involvement might have led to vaginal hysterectomy with anterior and posterior colporrhaphy as the commonest surgery among these women.