Abstract:
BACKGROUND: Pelvic organ prolapse (POP) is a bulge or protrusion of pelvic organs and their associated
vaginal segments into or through the vagina and it may occur in up to 50% of parous women. The
lifetime risk of undergoing POP surgery alone varies between 5 and 19%. The most common
intraoperative complications following vaginal Hysterectomy fall into three main categories: bleeding,
visceral injury and inability to extract the specimen (vagina surgery is difficult and changed to abdominal
surgery).
Objectives: This study is aimed to determine the incidence of complications of reconstructive pelvic
surgery for pelvic organ prolapse at Mada Walabu University Goba Referral hospital, Shanan Gibe
hospital and Jima university medical center.
Methods: A hospital based cross-sectional study will be used. All patients who will undergo pelvic
reconstructive surgery for POP will be included consecutively during the study period. Data will be
collected by trained midwife and will be cleaned, edited, coded and entered to computer and analyzed
by SPSS version 21. Descriptive statistics will be used to describe demographic profile of the study
participants and complications of reconstructive pelvic surgery. Chi-square test with Yate’s correction
will be used to determine for any association between different variables. P< 0.05 will be considered as
having significant association.
Results: The most frequent complications of pelvic organ prolapse reconstructive pelvic surgery during
study period was urinary retantions which account for about 20% of the common complications.
Urinary retantions was significantly associated whith increased parity (p=0.018) and with
colpohysterectomy and posterior myorrphy(p=0.017).
Conclusion and recommendation: This study showed higher frequency urinary retantions after
reconstructive pelvic surgery and it had significant associations with colpohysterectomy and advance
maternal age, so this may need large number of data to this the effect surgery on anterior vaginal wall
and colposuspensions.
