Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013
Jefi Hamamah(1*), Nuring Pangastuti(2)
(1) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(2) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(*) Corresponding Author
Abstract
Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.
Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.
Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.
Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.
Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.
Keywords: uterine prolaps, risk factors, vaginal hysterectomy
Keywords
References
- ACOG. 2007. Pelvic Organ Prolapse ACOG Practice Bulletin, 2007,85( 110): 717-729
- Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. 2012. Prevalence and risk factor for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarian delivery, BJOG: 120(2): 152-160
- Tsikouras P. 2013. Uterine prolapse in pregnancy: risk factors, complication and management. Journal of Maternal-Fetal and Neonatal Medicine. 9: 1-6
- Glazener C, Elders A, Macarthur C, Lancashire RJ, Herbison P, Hagen S, Dean N, Bain C, Toozs
- Hobson P, Richardson K, McDonald A, McPherson G, Wilson D. 2012. Childbirth and prolapse: longterm associations with symptoms and objective measurement of pelvic organ prolapse, BJOG. 120(2): 161-168
- Malihot T. Uterine prolaps. 2006, Tersedia di URL: http://www.emedicine.com 6. Kovoor E, Hooper P. 2008. Assesment and management of pelvic organ prolapse. Obstetrics, Gynaecology&, Reproductive Medicine. 18(9): 241-246
DOI: https://doi.org/10.22146/jkr.35430
Article Metrics
Abstract views : 3638 | views : 18339 | views : 10123Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043