The Clinical Profile of Surgically Treated Pelvic Organ Prolapse Patients in Algiers: A Retrospective Cohort Study

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Abstract Background Pelvic organ prolapse (POP) is a common condition among multiparous and postmenopausal women. In North Africa, delayed gynecological consultation often results in presentation at advanced stages requiring surgical management. Objective To describe the clinical profile, surgical management, and short-term postoperative outcomes of women undergoing surgery for pelvic organ prolapse at a tertiary care hospital in Algiers, Algeria. Methods A retrospective descriptive cohort study was conducted including 31 women who underwent surgical treatment for POP between January 2022 and December 2023. Data collected from medical records included age, parity, menopausal status, type and stage of prolapse, presenting symptoms, surgical procedures performed, and early postoperative outcomes. Descriptive statistics were applied. Results The mean age was 63.2 years (range 47–80), and the mean parity was 5.7. Most patients were postmenopausal (87%). Multicompartment prolapse was observed in 87% of cases, with stage III prolapse predominating. Vaginal hysterectomy with anterior and posterior colporrhaphy (VH + APR) was the most frequently performed procedure (58%). Early postoperative outcomes were favorable, with 90% of patients experiencing no major complications. Minor complications included transient urinary retention and mild infections, managed conservatively. The average hospital stay ranged from 3 to 5 days. Conclusion In this cohort, pelvic organ prolapse predominantly affected older, multiparous, postmenopausal women and commonly presented at advanced stages. Vaginal surgical management, particularly VH + APR, was associated with satisfactory short-term outcomes. These findings highlight the importance of preventive strategies and earlier gynecological consultation in resource-limited settings.

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