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01-04-2021 | Original Article

Symptomatic and anatomic improvement of pelvic organ prolapse in vaginal pessary users

Authors: Lanuza Celes Mendes, Leonardo Robson Pinheiro Sobreira Bezerra, Andreisa Paiva Monteiro Bilhar, José Ananias Vasconcelos Neto, Camila Teixeira Moreira Vasconcelos, Dayana Maia Saboia, Sara Arcanjo Lino Karbage

Published in: International Urogynecology Journal | Issue 4/2021

Abstract

Introduction and hypothesis

The vaginal pessary is a conservative method for treating pelvic organ prolapse (POP). It is able to reduce symptoms with minimal complications, improving quality of life (QOL). This study’s hypothesis was that the use of pessaries decreases quantitative measures and improves women’s QOL. We aimed to evaluate the effects of the use of a ring pessary on the quantitative measurements of POP by the Pelvic Organ Prolapse Quantification (POP-Q) and on QOL.

Methods

Prospective cohort study divided in two stages. In stage I POP-Q and QOL were assessed prior to the use of the ring pessary and in stage II after its use for at least 4 months with pessary removal 72 h before clinical evaluation. Wilcoxon tests were performed for necessary comparisons and Spearman’s tests for calculating correlations.

Results

One hundred thirty-six women were evaluated, of which 50 were included. There was a decrease in POP in at least one of the vaginal compartments in the women included. When assessing individual measures (Ba, Bp and C), reductions in all measures were observed. There was also an improvement in the general and specific quality of life of women.

Conclusion

The ring pessary proved to be a good therapeutic option, with a reduction in POP-Q measurements and/or absence of POP progression in the short term and an improvement in women’s QOL.

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Title: Symptomatic and anatomic improvement of pelvic organ prolapse in vaginal pessary users
Authors: Lanuza Celes Mendes
Leonardo Robson Pinheiro Sobreira Bezerra
Andreisa Paiva Monteiro Bilhar
José Ananias Vasconcelos Neto
Camila Teixeira Moreira Vasconcelos
Dayana Maia Saboia
Sara Arcanjo Lino Karbage
Publication date: 01-04-2021
Publisher: Springer International Publishing
Published in: International Urogynecology Journal / Issue 4/2021
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-020-04540-w

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Symptomatic and anatomic improvement of pelvic organ prolapse in vaginal pessary users

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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