p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal Majalah Kesehatan FKUB
Prabawati, Nirmala Gina
Unknown Affiliation

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

PROFILE OF PELVIC ORGAN PROLAPSE PATIENTS AT THE UROGYNECOLOGY CLINIC OF Dr. CIPTO MANGUNKUSUMO GENERAL HOSPITAL 2019–2025 Priyatini, Tyas; Prabawati, Nirmala Gina; Syafardi, Irsat; Hayati, Nora Amalia
Majalah Kesehatan Vol. 13 No. 2 (2026): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2026.013.02.4

Abstract

Pelvic organ prolapse (POP) is a common pelvic floor disorder that adversely affects women’s physical, psychological, and social well-being. Globally, approximately 30% of women may experience some degree of POP, with reported prevalence in Asian countries ranging from 3% to 50%. Limited hospital-based epidemiological data are available in Indonesia. This study aimed to describe the demographic and clinical profile of POP patients at a national tertiary referral center. A retrospective descriptive study was conducted using medical records of patients diagnosed with POP at the Urogynecology Clinic of Cipto Mangunkusumo General Hospital between 2019 and 2025. Variables analyzed included age, prolapse  severity, dominant compartment, parity, urinary disorders, type 2 diabetes mellitus, and obesity. Data were presented descriptively with 95% confidence intervals (CI). A total of 384 patients were identified, with a mean age of 57.86±12.41 years (95% CI 56.61–59.10). Most patients were aged >50 years (74.0%; 95% CI 69.6–78.4). Mild POP was observed in 52.1% and severe POP in 47.9%. Based on the compartment with the highest prolapse degree, cystocele was identified in 39.3% of cases, apical prolapse in 14.3%, and rectocele in 7.6%, while 38.8% had no single predominant compartment. A history of childbirth was documented in 83.8%, with parity 1–3 being most common (49.7%). Stress urinary incontinence (27.3%) was the predominant urinary disorder. Type 2 diabetes mellitus was found in 11.7%, and obesity in 34.0% of patients with available BMI data. In conclusion, POP patients were predominantly women aged >50 years, most with a history of childbirth. Prolapse severity was nearly evenly distributed between mild and severe cases; cystocele was the most common highest-degree compartment, followed by apical prolapse and  rectocele, with a substantial proportion of patients showing multicompartment involvement. Stress urinary incontinence was the predominant urinary disorder, and obesity and type 2 diabetes mellitus were the most common metabolic comorbidities.  
Case Report: ABDOMINAL SACROCERVICOPEXY COMBINED WITH THE MANCHESTER PROCEDURE FOR APICAL PROLAPSE WITH CERVICAL ELONGATION AND UTERINE MYOMA Moegni, Fernandi; Prabawati, Nirmala Gina; Syafardi, D. Irsat; Meutia, Alfa Putri; Hidayah, Gita Nurul; Rodiani
Majalah Kesehatan Vol. 13 No. 3 (2026): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2026.013.03.9

Abstract

Apical prolapse associated with cervical elongation is a complex condition requiring correction of both apical support and excessive cervical length. We report a 45-year-old woman presenting with a vaginal bulge and abnormal uterine bleeding for more than four years. Examination revealed stage IV apical prolapse with cervical elongation, accompanied by grade II cystocele and rectocele. Transvaginal ultrasonography demonstrated a 7.9 × 7.5 × 9.7 cm intramural uterine myoma (FIGO type 2–5) and a cervical length of 5.5 cm. Cervical cytology was negative for intraepithelial lesion or malignancy (NILM). The patient no longer desired pregnancy but wished to preserve sexual function with a low risk of recurrence. An abdominal supracervical hysterectomy was performed. Following maximal upward traction of the cervical stump toward the sacral promontory, cervical elongation remained evident, with the portio positioned <5 cm proximal to the hymenal ring. A Manchester procedure was performed to correct the cervical elongation, followed by abdominal sacrocervicopexy (ASC) using mesh. The final cervical position was approximately 7 cm proximal to the hymenal ring. At 3-month and 1-year follow-up, cervical position was maintained without prolapse recurrence or mesh erosion. Combined ASC and the Manchester procedure may represent an alternative surgical approach in selected patients with apical prolapse and cervical elongation, addressing both anatomical defects while considering preservation of vaginal anatomy and sexual function.