DOI: 10.36347/sjams.2017.v05i04.090

Pages: 1698-1704

Prevalence of uterovaginal prolapse is increasing with increase in life expectancy of women. The reported prevalence of uterovaginal prolapse is different in different countries. Various studies have been reported on the prevalence, determinants, clinical manifestations and treatment modalities of uterovaginal prolapse. The objective is to determine the prevalence of uterovaginal prolapse, identify determinants of uterovaginal prolapse. Retrospective study done on uterovaginal prolapse in Government Rajaji Hospital, Madurai, Tamilnadu in India from 15 April 2016 to 15 August 2016. The Prevalence of uterovaginal prolapse is 1.6%. The mean age of the patients in our study was 49yrs. 60.5 % women with prolapse were post-menopausal. 94% of women were multiparous. The predominant presenting complaint was history of mass protruding out of vagina. Non-surgical treatment was offered for 17%.Ward mayo’s surgery was the predominant surgical treatment offered. Post-menopausal state with its hypo estrogenic hormonal milieu adding to the already weakened supports due to prolonged labour and vaginal delivery involving the sphincter and vaginal tear are the main determinants of uterovaginal prolapse.