Vaginal Pessary Use for Pelvic Organ Prolapse in Thai Women

บทคัดย่อ

         This retrospective descriptive study was aimed to examine long-term continuation rates of vaginal pessary for pelvic organ prolapse (POP), determine reasons associated with discontinuation of pessary use and analyse factors associated with non-compliant pessary treatment. Medical records of patients with symptomatic pelvic organ prolapse who had pessaries fitted in the Urogynecology Clinic were reviewed. The pessary was regarded as successfully retained if it was being used without discomfort at the time of follow-up. Reasons for a patient’s decision to discontinue pessary treatment were also recorded. Three hundred and twenty eight patients were
found to have used a pessary and included in analysis. The continuation rate was 86.3% and the median time from insertion until the last follow- up was 19 months. The most common reason for vaginal pessary discontinuation
was pessary expulsion. The most common adverse event was vaginal discharge (21.6%). Age, parity, body weight, menopausal time, urinary incontinence, voiding difficulty and prolapse stage were not associated
with the pessary compliance (p>0.05). In conclusion, the continuation rate of vaginal pessary for POP was high. Use of pessary is not harmful and, with appropriate care, long-term complications occur infrequently.
Key words: vaginal pessary, pelvic organ prolapse, continuation rate, complications