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  3. 2. Proportion of Urinary Symptoms in Pre and Post-Menopausal Women with Uterovaginal Prolapse
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2. Proportion of Urinary Symptoms in Pre and Post-Menopausal Women with Uterovaginal Prolapse

1. Samina 2. Deeba Kalim 3. Amjad Zahoor 4. Israr Ahmed Akhund 5. Muhammad Ishaq

1. Asstt. Prof. of Obst. & Gynae  2. Asstt. Prof. of Obst. & Gynae 3. Assoc. Prof. of Pediatrics 4. Prof. of Physiology 

5. Prof. of Surgery, Jinnah Medical College, Peshawar

ABSTRACT

Objective: To compare the proportion of urinary symptoms in pre and postmenopausal women with uterovaginal prolapse. 

Study Design: Comparative Study. 

Place and Duration of Study: The study was carried out at the Department of Obstetrics & Gynecology Unit II, Dow University of Health Sciences and Civil Hospital Karachi from July 2005 to January 2006.

Materials and Methods: Sixty consecutive patients (30 premenopausal and 30 postmenopausal) were included in the study through structured Proforma from the out patient ward or emergency. Informed consent was obtained. A detailed history and related examinations and investigations were done. These include urine DR, Urine C/S and Urodynamic like Cystometry in selected patients.

Results: In this study the difference of urinary symptoms in pre and postmenopausal women of Uterovaginal prolapse were statistically found insignificant like frequency of urine (26.7% versus 33.3%), Urgency (20% vs 26.7%), Nocturia (26.7% vs 13.3%), Dysuria (40% vs 26.7%), Voiding problems (40% vs 46.7%), Urge incontinence (40%vs 20%). Stress incontinence was slightly higher in postmenopausal group than premenopausal (53.3%vs 46.7%) but this difference was found insignificant, while parity status between these two groups had significant difference like parity 2-5 was higher in pre-menopause group than postmenopause (66.7% vs 36.7%) and parity 6-10 was higher in postmenopause group than pre-menopause (63.3% vs 26.7%). 

Conclusion: Significant difference in parity was found between pre and post-menopausal women with uterovaginal prolapse but the difference of urinary symptoms in pre and postmenopausal group was found significant. Uterovaginal prolapse associated with different urinary symptoms especially incontinence and voiding problems. These urinary symptoms effect over quality of life of women. This warrants greater attention for Gynecological health needs in our country by safe family planning practices. 

Key Word: Uterovaginal Prolapse, Pre–Menopausal, Post-Menopausal