Resumen

OBREGON Y, Luisa; SAUNERO O, Arturo  y  DIAZ R, Susan. Prolapso genital en la maternidad “concepción palacios”. RFM [online]. 2009, vol.32, n.2, pp.139-143. ISSN 0798-0469.

Objectives: To assess the prevalence of genital prolapse, related factors, treatment and complications in patients hospitalized during 2003. Method: Descriptive, retrospective, epidemiologic. We reviewed the books of admissions from 01/01/2003 until 31/12/2003, by selecting patients with pelvic floor disorders. We evaluated the factors associated with age, pregnancy, childbirth, urinary incontinence, uterine fibromatosis, prior gynecological interventions. Ranked the types and degrees of prolapse, treatments and complications. Results: Of 21 144 income for 2003 was 2 616 identified with age ≥ 35 years, of which 423 were cases with gynecologic surgical pathology, and only 47 (11 %) had prolapse. The average age was 56.65 ± 11.5 years, 93% said weight symptoms, urinary incontinence or vaginal tumor. The average pregnancy 5.7 ± 3.2 and 4.9 ± 2.6 births. The associated factors were the most frequent uterine fibromatosis in 11 % after abdominal hysterectomy and 8.5 %. The most common type of prolapse was histerocele (51 %), II and III cystocele rectocele II º (36 %) and vaginal vault (11 %). The surgery was performed more vaginal hysterectomy, fewer abdominal hysterectomy, Burch colposuspencion, sacropexia and colpoperineoplastia. There were 14 % of intraoperative complications. Conclusions: The frequency of hospitalization for correction of genital prolapse is very low, the advanced histerocele is the most common symptoms are the elderly, multiparous, related factors and the uterine fibromatosis after abdominal hysterectomy. The most accomplished vaginal hysterectomy and the rate of intraoperative complications was significant.

Palabras clave : Genital prolapse; Pelvic floor; Dysfunction.