THE EFFECT OF GENERAL ANESTHESIA ON PROLAPSES OF THE PELVIC ORGANS (SECTIONAL STUDY)

Abstract

Background: Pelvic organ prolapse (POP) is the displacement of one or more organs, such as the uterus, vagina, urethra, bladder, rectum, sigmoid colon, or small intestine, from their normal anatomical location. This displacement arises from the collapse of the foundations and might vary in severity. Objective: The primary objective of the study was to thoroughly analyse and assess the outcomes associated with the impact of general anaesthesia on patients suffering from pelvic organ prolapse. Patients and methods: Between February 14, 2022 - September 20, 2023, a cross-sectional study was performed in different hospitals in Iraq to analyse and assess health outcomes and the impact of general anaesthesia on individuals suffering from pelvic organ prolapse who were hospitalised for surgical treatment. Data of a clinical nature were gathered for female patients within the age range of 40 to 60 years. A total of 60 samples were obtained from participants who had undergone the surgical treatment. This study examined the surgical outcomes of patients with pelvic organ prolapse, which were observed throughout a follow-up period ranging from 3 to 6 months. Pain scores were assessed during the postoperative clinic follow-up of patients who received general anaesthesia. The evaluations were conducted at three-time points: two hours, 24 hours, and three days after the surgery. The pain intensity was measured using a Visual Analogue Scale (VAS) that ranged from 0 (indicating no pain) to 10 (indicating severe pain). Results: The clinical findings documented the patient's reported symptoms, which included preoperative manifestations. The most prevalent cases were characterised by the presence of Mass descending per vagina in 16 instances and A sensation of a bulge in the vagina in 15 instances. The study collected surgical data for the patients, specifically for two procedures: Vaginal hysterectomy, involving 42 patients, as well as Sacro colpopexy, that involved 18 patients. The duration of the surgical operations for patients of both categories ranged from two to three hours. The incidence of complications amounted to 15 instances, with infection being the most prevalent in 6 cases, urine retention with 7 cases, and discomfort in 5 cases. This research assessed the quality of life for individuals suffering from pelvic organ prolapse. Most of them had high Emotional Functioning scores (76.34 ± 14.8), whereas Physical Functioning scores were somewhat lower (72.43 ± 10.68). Conclusion: This study shows that the use of general anaesthesia has a crucial role in guaranteeing and enhancing the well-being and satisfaction of patients with pelvic organ prolapse both during and after the surgical intervention.