Pelvic organ prolapse and stress urinary incontinence
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Abstract
Introduction: Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are often associated. Our objective is to determine the clinical characteristics of POP and SUI in the Peruvian Andes.
Methodology: Cross-sectional research carried out in the Peruvian Andes in 2017. Patients undergoing POP surgery are included; investigating age, Pelvic Organ Prolapse Quantification (POP-Q), type of surgery, complications, days of hospitalization and cost. SPSS 20.0 is used to process data.
Results: Prevalence of POP was 8.57 %. Average age 62.05 ± 11.9 years; the frequency was 17.1 % in women under 50 years; 22 % between 50 and 60 years; 34.1 % between 60 and 70 years and 26.8 % in women over 70 years of age. POP-Q was performed in 28 patients (66.67 %). Stages: 25 % stage 2; 32.1 % stage 3 and 42.9 % stage 4. The measurements were: genital hiatus (4.41 ± 1.18 cm); perineal body (2.93 ± 0.73 cm) and total vaginal length (6.96 ± 1.26 cm). The treatment was anterior colporrhaphy (37.5 %), vaginal hysterectomy (50 %) and anteroposterior colporrhaphy (12.5 %). 97.5 % with SUI correction and 87.2 % with transobturator tape (TOT). Hospitalization was 3.21 ± 0.65 days and the cost was USD 111 ± 44.67.
Conclusions: POP in the Andes is associated with advanced age and it is diagnosed in advanced stages. In half of the cases the involvement is apical and its correction occurs with vaginal hysterectomy together with the correction of SUI with TOT.
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