Sah, DKDoshi, NRDas, CR2025-08-122025-08-122010https://hdl.handle.net/20.500.14572/1485Sah DK 1, Doshi NR 2, Das CR 3 1Lecturer, 2Assistant Professor, 3Professor, Department of Obstetrics and Gynaecology, Nepalgunj Medical College, Kohalpur, Nepal.Abstract Background: UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio – economically less privileged and cannot afford the costs of treatment. Objective: An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse. Materials and methods: A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge. Results: 632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil. Conclusion: Proper screening before operation is the key to reduce operative as well as peri operative complications. Key words: vaginal hysterectomy, pelvic organ prolapse, peri operative complications of vaginal hysterectomyen-USArticle