Abstract

Background: Uterine prolapse is the herniation of the uterus into or beyond the vagina as a result of failure of the ligamentous and fascial supports.. Changes in pelvic anatomic structure due to hysterectomy can result in impaired pelvic function because of nerve or pelvic muscle structure damage during surgery. Objectives: This study aims to evaluate the presence of pelvic floor dysfunction in uterine prolapse patients after vaginal hysterectomy with pelvic floor repair. Methods: A total of 80 women with utero-vaginal prolapse undergoing total vaginal hysterectomy with pelvic floor repair were enrolled in this study. Patients were followed postoperatively about relief in clinical symptoms and the anatomical correction was analyzed at 1 month, 6 months & 1 years using Pelvic Organ Prolapse-Quantification (POP-Q) System. Results: Among the total study participants the most common age group of patients is between 51-60 years (40%). The multiparous women (parity ≥4) and vaginal deliveries were seen to be the predominant risk factors for utero-vaginal prolapse. Majority of the women (36.3%) had 3rd degree prolapse followed by second degree (31.3%). Vaginal bulge or something coming out of the vagina was the most common (98%) clinical presentation followed by urinary compliant (32.5%) and Pelvic pain (26.3%). There was significant restoration of utero-vaginal prolapse, clinical symptoms and anatomy of point when analysed with the POP-Q classification,

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