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

Abstract

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.