Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse.

08:04 EST 22nd November 2014 | BioPortfolio

Summary of "Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse."

INTRODUCTION AND
HYPOTHESIS:
The aim of this study is to evaluate and compare the effectiveness of pessaries and surgery in women with symptomatic pelvic organ prolapse.
METHODS:
A total of 554 women with symptomatic pelvic organ prolapse (POP) were recruited and treated with either a vaginal pessary (n = 359) or surgery (n = 195). Using the validated Sheffield POP questionnaire, outcomes were evaluated and then compared at 1 year.
RESULTS:
At 1 year, the only significant difference between the two groups was increased frequency of intercourse in the surgery group (54% vs 46%; p = 0.028), which was not significant when controlled for age. There was a statistically significant improvement in prolapse, urinary, bowel, and sexual function in both pessary users and those treated surgically.
CONCLUSIONS:
One year after treatment, women with POP report similar improvement in urinary, bowel, sexual function, and quality of life parameters when treated with pessary or surgical correction.

Affiliation

Mayday University Hospital, London Road, Croydon, Surrey, CR7 7YE, UK.

Journal Details

This article was published in the following journal.

Name: International urogynecology journal and pelvic floor dysfunction
ISSN: 1433-3023
Pages:

Links

PubMed Articles [26103 Associated PubMed Articles listed on BioPortfolio]

Perception of Vaginal Reconstructive Surgery in Women Undergoing Vaginal Rejuvenation/Vaginoplasty Procedures for Vaginal Laxity Symptoms Compared to Women Undergoing Standard Vaginal Prolapse Repair.

Vaginal versus sublingual misoprostol for labor induction at term and post term: a randomized prospective study.

We want to compare the efficacy and safety of vaginal versus sublingual misoprostol for cervical ripening and induction of labor. This randomized clinical trial was performed on 140 women with medical...

Long-term results of a clinical trial comparing isolated vaginal stimulation with combined treatment for women with stress incontinence.

Objective To determine the efficacy of stress urinary incontinence treatments adding pelvic floor muscle training to vaginal electrical stimulation. Methods Forty-eight women with stress urinary incon...

What do Portuguese Women Prefer Regarding Vaginal Products? Results from a Cross-Sectional Web-Based Survey.

Therapeutic outcomes of vaginal products depend not only on their ability to deliver drugs to or through the vagina but also on acceptability and correct use. Women's preferences, in turn, may vary ac...

Evaluation of risk factors in cesarean delivery among multiparous women with a history of vaginal delivery.

To predict the risk of cesarean delivery (CS) for multiparous women who have undergone previous vaginal delivery.

Clinical Trials [8007 Associated Clinical Trials listed on BioPortfolio]

Conservative Management of Symptomatic Pelvic Organ Prolapse Using Vaginal Pessaries: Generation of a Standardized Management Protocol

Genital prolapse is a common condition (up 20%), affecting the quality of life. Treatment can be surgical or conservative using vaginal pessaries. These devices are introduced into the va...

Characteristics Predictive of Pessary Success

Pessaries are mechanical support devices worn vaginally to treat the symptoms of pelvic organ prolapse, such as vaginal pressure or a vaginal bulge. Pessaries are one of the options along...

Trial Comparing Laparoscopic Sacropexy and Vaginal Mesh Surgery for Women Cystocele Repair.

The primary objective of this study is to compare with PFDI-20 questionnaire the functional outcome of laparoscopic sacrocolpopexy and vaginal mesh surgery in the treatment of symptomatic ...

Outcomes Following Vaginal Prolapse Repair and Mid Urethral Sling Trial

Pelvic organ prolapse is common among women with a prevalence that has been estimated to be as high as 30%. Prolapse may be corrected by surgery using either a vaginal or abdominal incisi...

Vaginal Microbiota Among Postmenopausal Women

It is known that vaginal bacteria have an impact upon the health status of the host, in some cases protecting against infection and in other cases causing infection, depending on the bacte...

Medical and Biotech [MESH] Definitions

Devices worn in the vagina to provide support to displaced uterus or rectum. Pessaries are used in conditions such as UTERINE PROLAPSE; CYSTOCELE; or RECTOCELE.

The commission charged with evaluating issues and factors which affect the implementation of the PROSPECTIVE PAYMENT SYSTEM.

Collection of pooled secretions of the posterior vaginal fornix for cytologic examination.

An incision of the posterior vaginal wall and a portion of the pudenda which enlarges the vaginal introitus to facilitate delivery and prevent lacerations.

Endoscopic examination, therapy or surgery of the female pelvic viscera by means of an endoscope introduced into the pelvic cavity through the posterior vaginal fornix.

Search BioPortfolio:
Loading
Advertisement

Relevant Topics

Women's Health
Latest News Clinical Trials Research Drugs Reports Corporate
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...

Urology
Latest News Clinical Trials Research Drugs Reports Corporate
Urology is the branch of medicine concerned with the urinary tract and diseases that affect it. Examples include urethritis, urethrostenosis and incontinence. Follow and track Urology News on BioPortfolio: Uro...

Advertisement