Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse.
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 Source: http://www.ncbi.nlm.nih.gov/pubmed/21161179
- DOI: http://dx.doi.org/10.1007/s00192-010-1340-9
Medical and Biotech [MESH] Definitions
Pessaries
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.
Prospective Payment Assessment Commission
The commission charged with evaluating issues and factors which affect the implementation of the PROSPECTIVE PAYMENT SYSTEM.
Vaginal Smears
Collection of pooled secretions of the posterior vaginal fornix for cytologic examination.
Episiotomy
An incision of the posterior vaginal wall and a portion of the pudenda which enlarges the vaginal introitus to facilitate delivery and prevent lacerations.
Culdoscopy
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.
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