THE QUALITY OF LIFE AMONG WOMEN USING PESSARY TREATED PELVIC ORGAN PROLAPSE AT CAN THO OBSTETRICS AND GYNECOLOGY HOSPITAL
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Abstract
Background: Pelvic organ prolapse is a common gynecological disease associated with pelvic floor dysfunction in women. The prevalence of pelvic organ prolapse is approximately 44% in women and is a health concern affecting millions of women worldwide. Today, there are many methods of treating pelvic organ prolapse. Of these, Pessary insertion is a conservative treatment option and can be considered as a first-line treatment. Objectives: Evaluation of the results of the treatment of pelvic organ prolapse with Pessary insertion based on the change in the patient's quality of life at Can Tho Obstetrics and Gyncology hospital. Materials and methods: A cross-sectional descriptive study of 37 patients diagnosed with grade II or higher pelvic organ prolapse according to POP-Q criteria and treated with a pessary. Evaluation of treatment results after 1 month of follow-up using the PFDI-20 and PFIQ-7 quality of life questionnaires. Results: The scores of PFDI-20 and PFIQ-7 of all study subjects compared to before treatment were significantly reduced and statistically significant with p < 0.05. The rate of improvement in quality of life after 1 month of follow-up was 81.1% (CI95%: 70.0-90.0). Adverse effects are foul vaginal discharge, accounting for 2.7%. Conclusions: Conservative treatment with pessary insertion significantly improves the quality of life, especially in patients with contraindications to surgery, delaying surgery, or a desire to preserve the uterus.
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Keywords
Pelvic organ prolapse, pessary insertion, quality of life
References
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