title: Vaginal hysterectomy for pelvic organ prolapse in Nepal.
abstract: BACKGROUND
  UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio--economically less privileged and cannot afford the costs of treatment.
  
  
  OBJECTIVE
  An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse.
  
  
  METHODS
  A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge.
  
  
  RESULTS
  632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil.
  
  
  CONCLUSIONS
  Proper screening before operation is the key to reduce operative as well as peri operative complications.
authors.affiliation: Department of Obstetrics and Gynaecology, Nepalgunj Medical College, Kohalpur, Nepal. dhirendraksah@ yahoo.com
authors.forename: D K
authors.initials: DK
authors.lastname: Sah
authors.forename: N R
authors.initials: NR
authors.lastname: Doshi
authors.forename: C R
authors.initials: CR
authors.lastname: Das
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D056887:Pelvic Organ Prolapse / Q000453:epidemiology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014621:Vagina