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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Physicians examined 216 women who presented at Chittaranjan Seva Sadan College of Obstetrics, Gynaecology, and Child Health in Calcutta, India, and had undergone surgical sterilization at least 2 years earlier. Endometrial biopsies during the late secretory phase in the 32 cases with excessive bleeding during the late menstrual period found proliferative changes: dilated glands in 28 cases and poor secretory phase in 4 cases. The 12 ovarian biopsies revealed cortical stromal hyperplasia in 1 case. None of the control cases (i.e., those with no menorrhagia) had any ovarian changes. Observed pelvic pathologies included in the order of frequency: cystic ovaries, hydrosalpinx, uterine fibroids, pelvic endometriosis, uterine prolapse, chronic cervicitis, and scar endometriosis. Most of the 216 women were 25 to 35 years old and the youngest was 22 years old. Menorrhagia was the most common complaint (59.2%) and 30 to 35 year old women suffered from it the most. Among women who had no pelvic pathology, dysfunctional uterine bleeding was responsible for menorrhagia. Dysmenorrhea was the next most frequent complaint (29.6%). Intermenstrual bleeding, abnormally infrequent menstruation, and secondary amenorrhea were other menstrual disturbances (5.56%, 4.17%, and 1.39%, respectively). Other relatively common symptoms associated with surgical sterilization were abdominal pain (25%), abdominal discomfort and backache (14.8%), and whitish, viscid vaginal or uterine discharge (12.03%). Less frequent symptoms were obesity, painful scar, insomnia, irritability, depression, and regret. Proper preoperative and postoperative counseling would have prevented many of the complications.
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PMID:Aftermaths of surgical sterilisation with special reference to menstrual disturbances. 153 7

The study purpose was to determine to what extent the tubal ligation operation was responsible for a hysterectomy at a later date. Materials were collected from Eden Hospital, Medical College and Hospitals in Calcutta, India over the August 1974-July 1979 period. A total of 298 hysterectomies were performed during this period. Of these, 36 patients had previous ligation of tubes. All of these cases were studied clinically during preoperative, operative, and postoperative periods. Their histopathological reports were scrutinized. Findings of postligation hysterectomy cases were compared with that of nonligation cases. Postligation cases were labeled as group 1 and nonligation cases as group 2. Out of 36 cases in group 1, only 2 patients attended after mneopause. In regard to the ligation hysterectomy interval, it was less than 5 years in 3 cases, between 5-10 years in 12 cases, between 11-15 years in 10 cases, and between 16-20 years in 10 cases. Only 1 case had a ligation-hysterectomy interval of 21 years or more. The patient who attended within 8 years usually came with symptoms of uterine prolapse, excessive white discharge, and in 2 cases with lump abdomen for hydrosalpinx. Menorrhagia, dysmenorrhea, and acute abdominal symnptoms were more common among postligation patients. Fibroid, endometriosis, hydrosalpinx, polycystic ovary, endometrial polyp, and dysfunctional uterine hemorrhage were more common among postligation cases than in the nonligation group. Of the 2 cases of death in group 2, 1 case of malignant ovarian tumor died within 24 hours of the operation and the other patient died on the 8th postoperative day after Wertheim's operation. In group 1 there was no mortality. Morbidity was not much different among the 2 groups. Thus the risk of operation among postligation cases was as minimum as in other cases.
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PMID:Post- tubal ligation hysterectomy. 731 Jan 44