Effect and Quality of life after Pessary ring treatment for Pelvic Organ Prolapse
Keywords:
pessary ring, pelvic organ prolapseAbstract
Objective : To prospectively assess the effects of pessary ring and health-related quality of life after treatment
Study design : Prospective descriptive study
Setting : Department of Obstetrics and Gynecology
Methods : 124 women attending gynecological clinic of Phatthalung Hospital from July 2014 to October 2016 with symptom of pelvic organ prolapse who preferred to use a ring pessary were included in this study , all women in this study completed prolapse symptoms questionnaire after used pessary ring 4 months.
Main outcome measures : questionnaire to assess changing of symptom and complacency after pessary ring treatment for 4 months
Results : Out of 124 women recruited to the present study, mean age was 69.34 years,80% successfully retained pessary ring by themself,in a group of success for using 90% feel easy to insert pessary ring by themselves, 90%feel easy to takeout pessary ring by themselves , 88% feel more enjoyment of life and 100% significant improve in symptom of no prolapse coming out of vagina ,92 % significant improve in voiding , 100% significant improve in bowel evacuation ,no significant improve in sexual satisfaction
Conclusion : The pessarey ring treatment is an effective and simple method for alleviating symptoms of pelvic organ prolapse associated pelvic floor dysfunction ,especially improve in awareness of vaginal prolapsed. Failure to retain the pessary is associated with short vaginal length and disability.
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