Characteristic of patients with pelvic organ prolapse in obstetric and gynecologic outpatient clinic in Sanglah Hospital, Bali, Indonesia from January 2014 to December 2015

Introduction: Pelvic organ prolapse (POP) can be found in more than half of all women who had given birth. Pelvic organ prolapse can be a burden to the patients, whether it is psychological, social and/or economic. The aim of this study is to investigate the characteristics of patients with POP at the Sanglah Hospital, Denpasar, Indonesia. Method: This is a descriptive retrospective study conducted in the gynecologic outpatient clinic, Sanglah Hospital, Denpasar. All newly diagnosed cases of POP in the clinic from January 2014 to December 2015 were recorded. The diagnosis and severity of prolapse were assessed by using Pelvic Organ Prolapse Quantification (POP-Q) system. Data were obtained both from the outpatient clinic’s registry and from patient’s medical record. Result: In 2 years period (1 January 2014 to 31 December 2015), there were 43 new cases of POP (11.38%) out of 378 gynecologic cases recorded in the clinic’s registry. In 2 years period, there were 475 gynecologic surgeries performed and 41 out of the 43 patients with POP had undergone a surgical procedure. Conclusion: Severe stage POP is most likely to be found in women with high parity, older age (?60 years old), and who went through menopause already. It is also estimated that the real incidence of POP is higher, due to POP being asymptomatic. It is important for women to be educated about symptoms and treatment of POP because most patients come to seek for a care when they have a more severe symptom.