Overactive Bladder Symptom Score Changes after Pessary Insertion in Women with Pelvic Organ Prolapse and Overactive Bladder
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Abstract
Objectives: To determine the overactive bladder symptom score (OABSS) change after pessary insertion in patients with symptomatic pelvic organ prolapse and overactive bladder at 3 months after treatment.
Materials and Methods: During May 2020 and May 2021, 27 patients diagnosed as having pelvic organ prolapse with overactive bladder and treated by vaginal pessary were recruited in the study. The Thai-version Overactive Bladder Symptom Scores (OABSS) Questionnaire was used to assess the overactive bladder symptom before and after pessary treatment at 3 months follow-up.
Results: The mean total OABSS scores at pre- and post- treatment were 6.9 ± 3.3 and 4.4 ± 3.1, with significant difference at p < 0.05. The patients with improved OABSS score were 85.2% (23/27) after pessary insertion. OABSS significantly improved in all subcategories including frequency, nocturia, urgency, and incontinence. After performing the univariate analysis, there was no significant relationship between OABSS outcome and various factors such as age, weight, height, BMI, parity, and POP-Q stages.
Conclusion: The overactive bladder symptom score (OABSS) changed significantly after pessary treatment in women diagnosed with symptomatic pelvic organ prolapse and overactive bladder.
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