CONSERVATIVE SURGICAL MANAGEMENT OF UTEROVAGINAL PROLAPSE IN YOUNG WOMEN
English

Chetan Ashok Pawar, Monali Prakash Deshmukh
2017 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND Uterovaginal Prolapse implies failure of one or more of the supports of the uterus and vagina that prevents the abdominal and pelvic organs from falling through the opening within the bony pelvis. Various vaginal plastic or reparative operations have strongly resembled one another in order to restore the support of pelvic organs. So the present study aimed to evaluate various modalities of conservative surgical management and their outcome. MATERIALS AND METHODS The study comprises
more » ... e study comprises of 40 women in reproductive age group within 18 -35 years with varying degrees of prolapse treated by conservative surgeries. Contraindication for surgery was the excluding criteria. Type of conservative surgeries, indications outcome and followup evaluation was done. RESULTS Majority of women, i.e. 75% were of 21 to 30 years' age group. Past obstetric history of prolonged and difficult labour was in 20% and multi-parity in 77.5% women. Something coming out per-vagina was most common (100%) complaint with low back pain. Majority of women, i.e. 47.5% had 3 inches uterocervical length. Purandare's abdominal cervicopexy and Shirodkar's uterosacral advancement needed in 20% and 15% respectively, 30% had Shirodkar's sling surgery, 15% underwent Nadkarni's sleeve operation, Fothergill's operation and laparoscopic assisted cervicopexy was done in 10% each. All sling operations were done for Grade III descents. Conception rate was 25% by Shirodkar's sling operation, 66.66% by Nadkarni's sleeve excision. No recurrence was noted after any procedure during study period. CONCLUSION Different procedures in conservative surgeries of uterovaginal prolapse have their own advantages and disadvantages. Patient with prolapse are not approached with fixed plans. Individual preference with surgical skills varies with the operating surgeons and experience. KEYWORDS Uterovaginal Prolapse, Supports of the Uterus and Vagina, Conservative Surgeries. HOW TO CITE THIS ARTICLE: Pawar CA, Deshmukh MP. Conservative surgical management of uterovaginal prolapse in young women. BACKGROUND The occurrence of uterovaginal prolapse implies failure of one or more of the supports of the uterus and vagina. Activating factors to precipitate the onset of prolapse if a weakness is present are increased intra-abdominal pressure, [1] increasing parity, overweight are associated factors responsible for prolapse. While vaginal prolapse can occur independently without uterine descent, the uterine prolapse is usually associated with variable degrees of vaginal descent. The treatment of pelvic organ prolapse and its associated symptoms constitute a major subject in gynaecology.
doi:10.14260/jemds/2017/531 fatcat:ydezjrob4fdcnhq7vor555u724