The Characteristics and Satisfaction of the Patients Using Vaginal Pessaries
Somkiat Sitavarin MD*, Rujira Wattanayingcharoenchai MD*, Jittima Manonai MD*, Sirirat Sarit-apirak BSc**, Apichart Chittacharoen MD*
Affiliation : * Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand ** Department of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Objective : To study the characteristics of pelvic organ prolapse (POP) patients that used a pessary.
Results : Prospective, descriptive study
Results : Urogynecology Clinic, Ramathibodi Hospital, Faculty of Medicine, Mahidol University
Material and Method: The authors conducted a prospective, observational study. The average age, parity,
average body mass index, menopausal age, pessary type, and reasons for pessary use were collected in the
present study. The symptoms, satisfaction, complication, and continuation rates after use were recorded.
Results : For the 40 subjects, the average age was 70.4 years, the average of parity, body mass index, and
menopausal age were 4, 24.5 kg/m2, and 22 years, respectively. The reasons for choosing a pessary included
mostly risks and reluctance to undergo surgery. The complications from using a pessary were vaginal erosion,
which was found in one case. Thirty-seven patients (92.5%) were satisfied and continued to use pessaries.
Conclusion : Most POP patients had a favorable outcome in terms of satisfaction with the pessary use and
continued to use pessaries.
Keywords : Pessary, Pelvic organ prolapse, Satisfaction
