Key topics for improving POP care Nepal
Questions increase as more experience is gained. Some of these are:
. more POP in (rural) Nepal? Relation to ethnicity, genetic aspects?
. more POP in lower casts?
. more POP in Terai than in hilly area of Nepal?
. is a retroverted uterus a factor in developing POP?1
. more POP 3 – POP 4 in Nepal than in western countries?
. are there mortality figures in women with POP 3 – POP 4?
. what is the role of age at first childbirth and development of POP?
. what is the role of specific aspects like heavy lifting
Prevention of POP
. what is the place of pelvic floor exercises in women with and without POP?
. how to measure the effect of preventive measures?
Treatment of POP
. what is a positive result for a woman?
. can POP stage diminish through pessary treatment?
. is there a place for pelvic floor exercises?
. what is the effect of pelvic floor exercises in women with a good/bad pelvic floor
. what is the result of pessary treatment after 1 year, after 2 years, after 5 years?
. what are the reasons to stop pessary treatment after successful fitting
. what is the recurrence rate of POP surgery in cases with Anterior Repair?
. what is the recurrence rate of POP surgery in cases with Vaginal hysterectomy?
. what are the results of different surgical interventions for vault prolapse?
. is carrying heavy loads a factor in developing a (vault) prolapse?
. is squatting a factor in developing a (vault) prolapse?
. the development of a questionnaire about POP validated for women in rural Nepal 2