Incidence of complicalications for the pelvic organ prolapse reconstructive Surgery in three hospitals in oromia region, Ethiopia

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.