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PREVENTABLE RISK FACTORS IN SYMPTOMATIC FEMALES WITH SURGICAL INTERVENTION IN PAST FOR STRESS URINARY INCONTINENCE AND PELVIC ORGAN PROLAPSE

Dr Muhammad Tahir, Dr Maria Tariq, Dr Farman Mahmood

Objective: The aim of this research work is to evaluate the preventable factors of risks in the females with past history of surgery for Stress Urinary Incontinence or/and Pelvic Organ Prolapse. Methodology: We divided the 401 females with past history of surgery in to separate groups as; three hundred twenty-five females got surgery for pelvic organ prolapse and seventy-six females got surgery for stress urinary incontinence. Total two hundred and twenty-three patients were the part of control group with BMI and age matched who got surgery for benign gynecologic causes and they were present without any proofs for stress urinary incontinence and/or pelvic organ prolapse. We compared all these groups regarding their age, body mass index, parity, gravida, chronic diseases, delivery mode, habit of cigarette smoking and menopause status. Results: Grand multi-parity (parity of equal or greater than 5) enhances the risk of pelvic organ prolapse / stress urinary incontinence surgery and pelvic organ prolapse surgery 2.710 and 2.940 times correspondingly. The birth through vagina enhanced the danger of pelvic organ prolapse / stress urinary incontinence surgery 2.330 times (p=0.030). Conclusion: Grand multi-parity enhanced the danger of pelvic organ prolapse and/or stress urinary incontinence surgery and pelvic organ prolapse surgery whereas birth through vagina enhanced the danger of pelvic organ prolapse / stress urinary incontinence surgery. Among these factors, the only preventable factor of risk is the grand multi-parity. KEYWORDS: Pelvic Organ Prolapse, Stress Urinary Incontinence, Grand, Multi-Parity, Surgery.

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