Vaginal Ring Pessary Inserted by a Nurse for Pelvic Organ Prolapse in Chinese Women: A Prospective Study Abstract

Anny Wai-Mei TONG, Willy Cecilia CHEON, Ka-Pui CHAN
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
 
Objective: This study examined the efficacy and outcome of insertion of a vaginal ring pessary by a nurse in women with pelvic organ prolapse.
Methods: 96 women were prospectively recruited. Their demographics, urinary symptoms, and bowel function were evaluated. Grading of pelvic organ prolapse (using the Pelvic Organ Prolapse Quantification System), visual analogue scale on prolapse symptoms and voiding difficulty, validated pelvic floor distress inventory, pelvic floor impact questionnaire, patient decision on continuation of ring pessary use and satisfaction were recorded on the first visit and at three-month follow-up.
Results: The mean age of patients was 66.4 years. 78 (79.6%) of women were satisfied with the ring pessary; 15 (15.6%) discontinued ring pessary use. All urinary symptoms (urgency, urge incontinence, and voiding dysfunction) except for stress incontinence improved significantly. Quality of life also improved significantly.
Conclusion: Nurses can play an active role in conservative management for women with symptomatic pelvic organ prolapse.
 
Hong Kong J Gynaecol Obstet Midwifery 2017; 17(1):50–5
 
  Copyright © 2017 by the Obstetrical & Gynaecological Society of Hong Kong
  and the Hong Kong Midwives Association
  Print ISSN:1608-9367
  Online ISSN:2225-904X
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