Vaginal hysterectomy for pelvic organ prolapse in Nepal.

BACKGROUND UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio--economically less privileged and cannot afford the costs of treatment. OBJECTIVE An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse. MATERIALS AND METHODS A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge. RESULTS 632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil. CONCLUSION Proper screening before operation is the key to reduce operative as well as peri operative complications.