Prolapso genital en el Hospital Universitario de Cartagena

Abstract

Genital prolapse is a frecuent condition in clinical practice, defined as the descent of the genital structures and/or elements related with them below the level they usually are. Endopelvic fascia joins organs to pelvics walls, and pelvic floor muscles close the pelvis and raise the organs, avoiding the distention of aponeurotic bonds. Are studied 102 patients attenden in the Hospital University of Cartagena with genital prolapse. Ages 32-80 years old. X = 55.8 ± 12.3 years. 74.5% had a grade III prolapse. Average parity was 7 births, none of them nulipar. The king of prolapse more frequent was cistocele, followed by the total genital prolapse. 30.2% of the gynecological surgeries made in this Hospital are procedures for the correction of genital prolapse. There weren't any intrasurgery accidents and 30 days complications were 11.8%. Intrahospitalary stay was 3-8 days. The origen of the pelvic floor transtorns is considered as multifactorial, having a great importance the obstetrical traumatism and more recently postmenopausic hypoestrogenic states. There's a need of more studies to clarify the influence of nutritional states and familiar tendency in genital prolapse.