CORRELATION OF SYMPTOMS AND ITS EFFECTS IN PELVIC ORGAN SUPPORT DEFECTS BY PELVIC ORGAN PROLAPSE -QUANTIFICATION {POP-Q} IN A TEACHING INSTITUTION IN NORTH KERALA, INDIA”

• shameema puthuprakkat puthuprakkat,*  
• CHELLAMMA VETTICKAL KUNJU,  
• Lisha govind K V,  
• Heera Shenoy T,  
• naseema beevi ahmed khan

Abstract

ABSTRACT Objectives :To study was done to describe the correlation of symptoms ,risk factors and the quality of life with POP-Q in pelvic organ support defects in a tertiary care center in North Kerala. Methodology :This study was conducted in the Department of Obstetrics and Gynecology , KMCT Medical college, Kozhikode from June 1 2021 to May 30 2022 after clearance from ethical committee in which 140 cases of uterovaginal prolapse were included .Results- The proportion of patients with cystocele and rectocele was found to be gradually increasing across the stages of disease as per the POP-Q staging and the maximum proportion was seen in stage 4.Occupation, obesity, chronic constipation ,chronic cough had no association with the severity of pelvic organ support defects The menopausal status of the study population didn’t have any significant association between POP -Q staging. When comparing socio-economic status with POP-Q staging it was found that there wasn’t any significant statistical association between them which indicates that the comparison was comparable .Stage 1 prolapse in the POP- Q needed only conservative management while all other stages required vaginal hysterectomy and pelvic floor repair (p < 0.01).Conclusions: Pelvic organ support defects such as cystocele and rectocele was found to be gradually increasing across the stages of disease as per the POP-Q staging and the maximum proportion was seen in stage 4. In stage 1, the quality of sexual life was not reported to be affected by the prolapse in any of the patients (p<0.01),while stage 4 defects necessitated surgical treatment to improve the overall quality of life.

Keywords

Words Utero vaginal prolapse ,POP-Q , cystocele , QOL , Sexual, rectocele, severity ,risk factors.

Ahead of Print Date : 2024-05-15