Use of Vaginal Pessaries for Pelvic Organ Prolapse in Chinese Women Abstract


To evaluate the efficacy, acceptability, and complications associated with the use of vaginal ring pessaries in the treatment of pelvic organ prolapse in Chinese women.

Study design:
This prospective observational study of patients presenting with symptomatic pelvic organ prolapse was carried out in the gynaecology clinic of a local regional hospital from June to December 2009. Patients were assessed at baseline and 3 months after pessary insertion. Success was defined as a comfortable pessary fitting at the initial visit, with comfort continuing up to the 12-week followup visit. Demographic data, symptomatology, pelvic organ prolapse staging, satisfaction score and complications following the use of the pessaries were recorded and subjected to statistical analysis.

A total of 85 patients were included in the analysis. Their mean age was 66 (standard deviation, 11) years. The 71-mm ring pessary was the most frequently used. Approximately 77% continued with the use of pessary at 3 months. The mean satisfaction score with the use of pessaries was 7.4 (standard deviation, 2.3). There was no association between the pelvic organ prolapse parameters with successful pessary fitting. 77% of the women experienced at least one symptom after pessary use; the most common being vaginal discharge (36.5%) and foul odour (36.5%), each of which occurred in 37% of the patients.

Vaginal ring pessary is an effective and acceptable first-line treatment option for managing pelvic organ prolapse in Chinese women.

Hong Kong J Gynaecol Obstet Midwifery 2011; 11:40-8

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