Quality of life, associated complications and satisfaction with pessary use for conservative treatment of pelvic organ prolapse

Gurovich, M.; Aros, S.; Sepulveda, J.; Rey, R.; Wainstein, A.; Sacomori, C.

Abstract

--- - "Background: Conservative treatment for pelvic organ prolapse (POP) is indicated when the patient refuses surgery, or when there is surgical contraindication due to adverse medical conditions." - "Objective: To evaluate the quality of life, complications, and perception of health improvement in women with POP on treatment with pessaries in the Urogynaecology Unit of the Military Hospital, Santiago Chile between 2009 and 2018." - "Method: Retrospective study that evaluated 60 women with POP on treatment with pessaries. Sociodemographic variables and clinical data were collected at the beginning of the treatment and during follow-up from April 2018 to March 2019. Two validated questionnaires were also completed: Subjective Perception of Improvement and Prolapse Quality of Life (PQoL)." - "Results: The ring was the most commonly used pessary (75%). The mean age of the patients was 78.7 years (+/- 8.2). The most reported complications were: vulvovaginitis, erosion, urinary tract infection, and flange. Around 80% of the patients reported an excellent improvement in their health condition, and 20% reported feeling better. Women with erosion and vulvovaginitis had a longer time of pessary use compared to women who did not have these complications (p < 0.05). In general, Quality of Life associated with prolapse and pessary use was good. Women with urinary incontinence showed a worse quality of life in domains \"impact of prolapse\" and \"social limitations\" (p < 0.05)." - "Conclusion: Conservative treatment with pessaries showed good results in subjective perception of improvement, good quality of life, and low percentage of complications. (C) 2020 Elsevier Espa & ntilde;a, S.L.U. All rights reserved."

Más información

Título según WOS: Quality of life, associated complications and satisfaction with pessary use for conservative treatment of pelvic organ prolapse
Título de la Revista: CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA
Volumen: 48
Número: 2
Editorial: Elsevier
Fecha de publicación: 2021
Página de inicio: 87
Página final: 94
DOI:

10.1016/j.gine.2020.04.002

Notas: ISI