None listed
Conditions
Brief summary
Pelvic organ prolapse is a common problem for women. It presents a lump or bulge extending out from the vagina. About fifty percent of women who have had vaginal childbirth will develop prolapse later in life and in about 20 percent of these women, the prolapse is symptomatic and the woman will seek treatment. Traditionally surgery has been the mainstay of treatment but other options include pelvic floor rehabilitation and the use mechanical devices (pessary). In 2015, the investigators were approached by to up-skill gynaecologists in the area of vaginal prolapse surgery in low-income countries, in particular, Bangladesh and Nepal. It was brought to the attention of the local gynaecologist that surgeries performed did not provide optimal outcomes and we were approached to provide expert feedback and means to upskill the local gynaecologists. In 2015, we went to Bangladesh to assess women and surgeries performed. As a result of this, we introduced the concept of vault or upper vagina support during vaginal surgery pelvic reconstructive surgery, that is, the sacrospinous colpopexy procedure. This procedure is commonly performed by gynaecologist, in particular, urogynaecologists in Australia during vaginal prolapse surgery to support the upper vagina. If this is not performed, then the prolapse of the upper vaginal (even after a hysterectomy) is not treated and will prolapse out again. Since 2015, we have been training the local gynaecologists in a number of locations in Bangladesh and Nepal to perform the sacrospinous colpopexy. The aim of this study is to review the charts of women who have undergone this surgery to ascertain prolapse recurrence rates. This audit will provide information regarding the main anatomical areas of prolapse recurrence, and hence focus continuing education in these particular areas.
Interventions
Prolapse usually presents as a protrusion or lump from the vagina. When the prolapse is large, the upper vagina usually descends also and if surgical treatment is undertaken, upper vaginal support/repair is required.
In 2015, sacrospinous colpopexy was introduced to various sites in Bangladesh to treat women with pelvic organ prolapse. Prior to this, only the vaginal hysterectomy and repair without upper vagina support was employed during surgical repairs of prolapse.
Following surgery, women ar
Prolapse usually presents as a protrusion or lump from the vagina. When the prolapse is large, the upper vagina usually descends also and if surgical treatment is undertaken, upper vaginal support/repair is required. In 2015, sacrospinous colpopexy was introduced to various sites in Bangladesh to treat women with pelvic organ prolapse. Prior to this, only the vaginal hysterectomy and repair without upper vagina support was employed during surgical repairs of prolapse. Following surgery, women are usually reviewed at 6 weeks, 6 months and 12 months to assess for recurrence of prolapse. This examination will be done by the local health professionals. If one of the investigators is in Bangladesh during the follow up visit, we will/have examine the woman with the local health professionals. At other times of follow up, the local health professionals will review the women and document the findings in the chart and these charts will be reviewed
Sponsors
Prof Judith Goh
Eligibility
Sex/Gender
All
Age
30 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Who have had pelvic organ prolapse surgery with sacrospinous fixation
Exclusion criteria
Women who have had prolapse surgery with sacrospinous fixation Women declining to enter study Women declining vaginal examination
Outcome results
None listed