Uterine Prolapse, Mobile Camp Approach and Body Politics in Nepal

Subedi, Madhusudan
December 2010
Dhaulagiri: Journal of Sociology & Anthropology;2010, Vol. 4, p21
Academic Journal
Various studies show that more than 600,000 women in Nepal are suffering from prolapsed uterus and that 200,000 of those needed immediate surgery. Many of the women with prolapse could recall the exact moment they first felt the prolapse and found difficulty to share the problems due to fear of stigma. Stories ranged from seven days immediately after the first delivery to after the birth of the fifth or sixth child; during cooking rice to sneezing and long coughing; fetching water in a big bucket to working in the field. If detected at an early stage, uterine prolapse (UP) can be controlled by pelvic exercises. For severe cases, the remedy is to insert a ring pessary to stop it from descending which has to be changed every four months. In extreme cases, uterine tissue protrudes from the vagina causing extreme discomfort. The only remedy is hysterectomy in which the uterus is surgically removed. The operation costs are about NRs 20,000. The Government of Nepal and other donor organizations have allocated funds to provide services to about 10,000 to 12,000 women suffering from uterine prolapse as humanitarian support each year and services are likely to be expanded in future. Women suffering from UP have not been able to get benefit from such assistance due to deep rooted socio-cultural perceptions and practices. The number of suffering women, on the other hand, would not decrease from existing curative management policy without hammering the root causes of UP. Moreover, a clear vision and strategy is needed to shift from humanitarian aid to a more sustainable public health intervention.


Related Articles

  • Advances in the surgical management of prolapse. Slack, Alex; Jackson, Simon // Menopause International;Mar2007, Vol. 13 Issue 1, p38 

    Prolapse is an extremely common condition, for which 11% of women will have a surgical procedure at some point in their lives. The recurrence rate after most of the traditional surgical procedures is high and upto 29% of women who have had surgery for prolapse will require a further operation....

  • Reproductive Risk Factors in Uterovaginal Prolapse: A Case Control Study. Paudyal, P.; Pradhan, N.; Ojha, N. // Journal of Institute of Medicine;Apr2015, Vol. 37 Issue 1, p39 

    Introduction: Uterovaginal prolapse (UVP) is a major women's health concern throughout the world and contributes a major bulk of reproductive health morbidity in Nepal. The cause of this disorder is likely to be multifactorial. The aim of this study was to analyze the reproductive risk factors...

  • Laparoscopic hysteropexy versus vaginal hysterectomy for the treatment of uterovaginal prolapse: a prospective randomized pilot study. Rahmanou, Philip; Price, Natalia; Jackson, Simon // International Urogynecology Journal;Nov2015, Vol. 26 Issue 11, p1687 

    Introduction and hypothesis: We have previously reported on laparoscopic hysteropexy for uterine prolapse. We now report a pilot randomized study comparing laparoscopic hysteropexy (LH) with vaginal hysterectomy (VH) for the surgical management of uterine prolapse. Methods: Women with...

  • Mesh repair for pelvic organ prolapse: The initial experience. Gupta, Manu; Gupta, Priti; Kapoor, Deepa; Kapoor, Rakesh // Indian Journal of Urology;Supplement1, Vol. 24, pS14 

    Objectives: To retrospectively analyze the outcome of surgery in women after vaginal repair with the Apogee mesh. Materials and Methods: 10 patients with recurrent cystocele and/or rectocele or with combined vault prolapse were included in the study between May 2006 and June 2007 Age of patients...

  • Not the Surgery for a Young Person: Women's Experience with Vaginal Closure Surgery for Severe Prolapse. O'Dell, Katharine K.; Jacelon, Cynthia S. // Urologic Nursing;Oct2005, Vol. 25 Issue 5, p345 

    The article focuses on a phenomenologic study that was conducted to increase understanding of the specific experiences that patients report after vaginal closure surgery. Participants for this study were recruited via a mailing to surgical patients from a large urogynecologic practice. Five...

  • LONG TERM FOLLOW-UP OF A RETROSPECTIVE COHORT OF PATIENTS WHO UNDERWENT CONSERVATIVE SURGERY FOR UTERO VAGINAL PROLAPSE. Mathews, Jiji Elizabeth; Biswas, Biwas; Kuruvilla, Chacko; Amte, Poonam; Beck, Manisha; D'souza, Aparajita // Indian Obstetrics & Gynaecology;2011, Vol. 1 Issue 2, p22 

    The article presents a study which examines the efficacy of Purandare's sling surgery and Fothergill's surgery used in the management of uterine prolapse. The study shows that back pain was seen in 19% of women who underwent Purandare's sling surgery and 37% of women who underwent Fothergill's...

  • Uterine prolapse. Doshani, Anjum; Teo, Roderick E. C.; Mayne, Christopher J.; Tincello, Douglas G. // BMJ: British Medical Journal (International Edition);10/20/2007, Vol. 335 Issue 7624, p819 

    The article presents an overview of uterine prolapse, which is the herniation of the uterus into or beyond the vagina as a result of failure of the ligamentous and fascial supports. A discussion of the causes of the condition, risk factors for the condition, and symptoms of the condition is...

  • Vaginal colpocleisis safe for total vault prolapse. Morain, Claudia // Urology Times;Apr2001, Vol. 29 Issue 4, p22 

    Reports the use of vaginal colpocleisis on total vault prolapse in San Diego, California. Mean age of women for vaginal closure; Advantage of the procedure; Average operating time and blood loss of the procedure.

  • Actinomyces infection associated with the transobturator sling. Begüm Özel; Jenny Kuo; Steven Minaglia // International Urogynecology Journal;Jan2010, Vol. 21 Issue 1, p121 

    Abstract  We present a case of Actinomyces infection associated with the transobturator sling. The patient had a transobturator sling complicated only by a left vaginal sulcal perforation. She subsequently developed mesh erosion that led to two partial mesh resections performed...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics