Quality of Life after Treatment by Vaginal Pessary versus Surgery in Symptomatic Pelvic Organ Prolapsed Thai Patients
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Abstract
Objectives: To compare the change in quality of life of Thai patients with symptomatic pelvic organ prolapse treated with vaginal pessary or surgery using validated prolapse quality of life (P-QOL) questionnaire.
Materials and Methods: The study recruited patients in one by one stratified simple random sampling in the same prolapse stages of forty patients in the pessary group and forty patients in the surgery group from the urogynecology clinic between January 2018 and August 2019. The data were collected using the P-QOL questionnaire before the treatment and 3 months and 6 months after the treatment.
Results: The mean age was 65.7 ± 7.7 years and body mass index was 24.9 ± 3.7 kg/m2. After treatment with either pessary or surgery, almost all P-QOL domains significantly improved at 3 months and 6 months except in the personal relationships and sleep/energy domains in the pessary group in which the domains were not different from the baseline. General health perceptions and sleep/energy domains significantly improved more in the surgery group at 3 months (p = 0.01 and p = 0.023) and 6 months (p = 0.024 and p = 0.007,) after treatment. The mean ± standard deviation of satisfaction scores after treatment in pessary and surgery at 3 months (8.9 ± 1.4 and 9.3 ± 1.0 (p = 0.509), and 6 months (9.4 ± 1.2 and 9.3 ± 1.1 (p = 1.000) were not statistically different.
Conclusion: The quality of life in symptomatic prolapse after treatment with vaginal pessary or surgery improved. The majority of patients were very satisfied with the outcomes of either treatment.
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