Review Article
Year: 2017 | Month: September | Volume: 7 | Issue: 9 | Pages: 263-271
Burden of Pelvic Organ Prolapse (POP) In Nepal: How to Prevent and Manage It? - A Review Article
Binod Aryal1, Uma Shrestha2
1Assistant Professor in Obstetrics and Gynaecology, Karnali Academy of Health Science (KAHS), Jumla, Karnali,
2MSc Nursing in Women’s Health, Tribhuvan University Teaching Hospital, Department of OBGYN, Maharajgung, Kathmandu.
Corresponding Author: Binod Aryal
ABSTRACT
Pelvic organ prolapse is one of the common gynaecological problems in the world. Nepali women are one of the mostly affected populations from one or other type of prolapse due to many reasons including lack of antenatal checkup coverage and deliveries by trained health care personnel. Although definite evidences are lacking in many instances, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. The role of pelvic floor muscle training as a preventive treatment is still controversial; however, it has an essential role in the conservative management of prolapse. Although surgery has been the definite management of POP in majority conditions, the surgical trends are currently changing because of increasing need and demand of uterus preservation as well as due to the controversial issues surrounding the use of mesh. As medical sophistication has progressed, so has the ability to understand more completely and better treat POP. The evolution of Minimally Invasive surgeries (MIS) like laparoscopic and robotic surgery has been preferred and beneficial in various pelvic floor surgeries.
Key words: Pelvic organ prolapse (POP), prevention, non -surgical treatment, surgical-treatment