Study of Etiology, Symptomatology of Uterine Prolapse and to Grade the Severity according to Pop-Quantification System
Keywords:
Uterine prolapse, pelvic organ prolapses, POP-Q, gynecology, tertiary care, multiparity, pelvic floorAbstract
Background: Uterine prolapse, the descent of the uterus into or beyond the vaginal canal due to weakening of the pelvic floor muscles and ligaments, remains a significant health issue in women, particularly in developing countries. It often leads to distressing symptoms that impact quality of life and is commonly underreported due to sociocultural barriers.
Objectives: To assess the clinical profile, risk factors, and severity of uterine prolapse in women attending the gynecology outpatient department (OPD) of a tertiary care hospital.
Materials and Methods: This prospective clinical study was conducted over a defined period among patients presenting with symptoms of pelvic organ prolapse. Detailed histories were taken, and clinical examinations were performed using the Pelvic Organ Prolapse Quantification (POP-Q) system. Relevant demographic and clinical data were collected and analyzed statistically.
Results: The majority of women affected were multiparous and above 40 years of age. Prolonged labor, home deliveries, and lack of postnatal care were common risk factors. Most patients presented in stage III or IV of uterine prolapse. Pelvic discomfort, mass per vagina, urinary complaints, and sexual dysfunction were the predominant symptoms. Surgical intervention was the preferred mode of treatment in advanced cases.
Conclusion:
Uterine prolapse is a common yet preventable condition. Awareness, early diagnosis, and accessible gynecological services can significantly reduce disease burden and improve quality of life for affected women. Community-based education and promotion of institutional deliveries are essential public health strategies to combat this issue
Downloads
Metrics
References
Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 1998;25(4):723–46.
Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol. 1997;104(5):579–85.
Miedel A, Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M. Non-obstetric risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol. 2009;113(5):1089–97.
Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186(6):1160–6.
DeLancey JO. The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol. 2005;192(5):1488–95.
Elbiss HM, Osman N, Hammad FT. Pelvic organ prolapse and chronic pelvic pain: is there any association? Int Urogynecol J. 2015;26(10):1461–5.
Swift SE. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol. 2000;183(2):277–85.
Walker GJ, Gunasekera P. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors. Int Urogynecol J. 2011;22(2):127–35.
Bodner-Adler B, Shrivastava C, Bodner K, Kimberger O, Ausserwinkler M, Czerwenka K. Risk factors for uterine prolapse in Nepal. Int Urogynecol J. 2007;18(11):1343–6.
Samuel N, van den Akker T. Primary uterine prolapse in rural Ethiopia: a case series. Glob Health Action. 2017;10(1):1331533.
Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10–7.
Panda S, Tailor S, Sinha A, Soni S, Singh P. A retrospective study on the clinical profile and management of pelvic organ prolapse at a tertiary care centre in Central India. J Clin Diagn Res. 2017;11(1):QC01–QC04.
Komesu YM, Rogers RG, Rode MA, Craig EC, Gallegos KA, Montoya AR. Pelvic floor symptom severity, bother and quality of life in women who seek care for pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12):1471–8.
Dangal G. A study of uterovaginal prolapse in a tertiary care hospital of Nepal. Nepal J Obstet Gynaecol. 2006;1(1):24–6.
Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(4):655–84.
Pradhan A, Uprety A, Sharma S. Pelvic organ prolapse in Nepalese women: a consequence of women's poor social and economic status. Am J Public Health. 2010;100(11):2058–61.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.