Review

Histopathology findings of the pelvic organ prolapse

F.M.A. Corpas 1, A. Illarramendi 2, F. Nozar 3, B. Caserta 4

1 Asistente Clínica Ginecotocológica A CHPR, 2 Residente de Ginecología, Clínica Ginecotocológica A CHPR, 3 Profesora Adjunta Clínica Ginecotocológica A CHPR, 4 Jefa del servicio de Anatomía Patológica del CHPR, Presidenta de la Sociedad de Anatomía Patológica del Uruguay, Centro Hospitalario Pereira Rossell (Chpr), Montevideo, Uruguay

Abstract:

Pelvic organ prolapse is a benign condition, which is the result of a weakening of the different components that provide suspension to the pelvic foor. Surgical treatment, traditionally involve a vaginal hysterectomy, although over the last few decades the preservation of the uterus has become more popular.

The objective of the paper is to analyze the characteristics of those patients diagnosed with pelvic organ prolapse, whose treatment involved a vaginal hysterectomy and its correlation to the histopathological characteristics. Retrospective, descriptive study. Data recovered from the medical history of patients that underwent surgical treatment for pelvic organ prolapse through vaginal hysterectomy, were analyzed in a 2 years period, in the CHPR, and compared to the pathology results of the uterus. At the level of the cervix, 58,2% presented changes related to the prolapse (acantosis, para and hyperqueratosis) and 43,6% chronic endocervicitis. Findings in the corpus of the uterus were 58,2% atrophy of the endometrium, 21% of endometrial polyps and 30.9% leiomiomas and 1 case of simple hyperplasia without cellular atypias. No malignant lesions were found. The pathology results of the uterus reveal the presence of anatomical changes related to the pelvic organ prolapse and in accordance to the age of the patient, as well as associated pathologies to a lesser extent.

As we were able to establish, in most cases the removal of the uterus is not due to a pathology of the uterus itself but to a symptom generated by the failure of the suspension system of the pelvis.


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