Background; Uterovaginal prolapse (UVP) is a major womenâ€™s health concern throughout thernworld. Globally, 2-20% of all women are affected by uterovaginal prolapse (2). The mean rnprevalence of pelvic organ prolapse in developing countries is 19.7% (7). the prevalence of uterornvaginal prolapse in Ethiopia is 18.55% among all gynecological operations (8). Older age, beingrnmenopause, higher parity, vaginal delivery, and prolonged labor are major risk factors for therndevelopment of uterovaginal prolapse (1). rnObjective of the study; To assess the prevalence and associated factors of utero vaginalrnprolapse at governmental hospitals in Addis Ababa, Ethiopia. rnMethodology; institution based cross-sectional study was employed retrospectively in AddisrnAbaba city governmental hospitals by reviewing the medical chart of women admitted in rngynecology ward for two years, from March 2017 to February 2019 G.C. All women whosernmedical information was entered into the registry book of gynecology ward of the study hospitalsrnduring the study period were included under the study whereas Women with incomplete recordsrnand women whose medical charts are lost from the MRN archive of the hospitals were excludedrnfrom the study. A randomly selected medical records of 400 women admitted in gynecologyrnwards were included in the study. The data were entered to EpiData 4.4 and analyzed using SPSSrnversion 24 statistical package. Bivariate and multivariate logistic regression were carried out. rnResult; The prevalence of utero-vaginal prolapse is 12.8 % per total number of patients whornadmitted at gynecology ward of Addis Ababa city governmental hospitals. The leading rndeterminants of utero-vaginal prolapse were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838),rnage > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of >4 (OR = 4.201 (at 95 % CI 1.652,rn10.685), age at first delivery 4 deliveries, age >40 years, age atrnfirst delivery