Predictors for dislodgment of vaginal pessary within one year in women with pelvic organ prolapse
Publication in refereed journal

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其它資訊
摘要Objectives:
To identify clinical risk factors for dislodgment of vaginal pessary within one year in women with symptomatic pelvic organ prolapse.
Study design:
This was a prospective observational study which recruited consecutive women with symptomatic pelvic organ prolapse in a tertiary urogynecology center. Basic demographics, clinical symptoms and staging of pelvic organ prolapse were assessed. A vaginal pessary was offered where appropriate.
Main outcome measures:
Demographics and clinical parameters were compared between women who were able to use a vaginal pessary for one year and those whose pessaries were dislodged within one year.
Results:
A total of 779 women were recruited and had a vaginal pessary inserted. Of them, 528 women, with a mean age of 64.7 (SD 10.1) years, returned for one-year follow-up; 177 (33.5%) had their pessary dislodged within one year and 351 (66.5%) had been able to retain the pessary. Stage III or IV prolapse (OR 1.76), prolapse predominant at the apical compartment (OR 2.14) and larger genital hiatus (OR 1.63) were factors associated with dislodgment of the vaginal pessary. Age, body mass index, previous hysterectomy and short vagina were not associated with dislodgment. Nevertheless, 47.6% of women with stage III/IV prolapse could still keep the pessary for one year.
Conclusion:
Higher staging of prolapse, larger genital hiatus and apical compartment prolapse are clinical predictors for dislodgment of a vaginal pessary. Despite this, nearly half of women with stage III/IV prolapse were able to use a vaginal pessary for one year. Therefore, a vaginal pessary should be offered despite their staging of prolapse.
出版社接受日期09.11.2017
著者Rachel Y.K. Cheung, Loreta L.L. Lee, Tony K.H. Chung, Symphorosa S.C. Chan
期刊名稱Maturitas
出版年份2018
月份2
卷號108
出版社ELSEVIER IRELAND LTD
頁次53 - 57
國際標準期刊號0378-5122
電子國際標準期刊號1873-4111
語言英式英語
關鍵詞Vaginal pessary, Pelvic organ prolapse, Predictors

上次更新時間 2020-06-08 於 23:20