Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting
Introduction: Pelvic organ prolapse (POP) is the descend of pelvic organs including uterus, bladder, and rectum to the vaginal wall. Patients with POP may present with symptoms such as vaginal bulging with other symptoms like urinary, defecatory or sexual dysfunction. This study was conducted to eva...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2021-08-01
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| Series: | Acta Medica Iranica |
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| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/9030 |
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| author | tooran makhdoumi tahereh eftekhar zinat ghanbari leila pourali maryam deldar pesikhani soodabeh darvish elnaz ayati maryam hajhashemi zahra lotfi |
| author_facet | tooran makhdoumi tahereh eftekhar zinat ghanbari leila pourali maryam deldar pesikhani soodabeh darvish elnaz ayati maryam hajhashemi zahra lotfi |
| author_sort | tooran makhdoumi |
| collection | DOAJ |
| description | Introduction: Pelvic organ prolapse (POP) is the descend of pelvic organs including uterus, bladder, and rectum to the vaginal wall. Patients with POP may present with symptoms such as vaginal bulging with other symptoms like urinary, defecatory or sexual dysfunction. This study was conducted to evaluate the changes of POP symptoms one year after pessary fitting.
Methods: Patients with symptomatic pelvic organ prolapse who presented to the pelvic floor clinic of an academic hospital between August 2016 and April 2019 were considered. Pelvic organ prolapse symptoms including urinary, defecatory, sexual and bulging symptoms were recorded before and one year after pessary fitting. pelvic floor distress inventory (PFDI)-20 and pelvic floor impact questionnaire-7 (PFIQ-7) were evaluated before and after treatment for all subjects.
Results: We analyzed the characteristics of 110 patients who used the pessary for 12 months. At the baseline, the most common prolapse symptoms were vaginal bulging and pelvic pressure. All urinary, defecatory and sexual symptoms significantly improved one year after regular pessary use(P<0.001). Changes in PFDI-20 and PFIQ-7 before and after pessary use showed the significant improvement in both frequency and satisfaction of sexual function (P<0.001).
Conclusion: The study showed significant improvement in bulging, urinary, and defecatory symptoms. Although the majority of patients were not sexually active, a significant proportions of sexually active patients reported an increase in sexual satisfaction. |
| first_indexed | 2024-04-11T19:06:57Z |
| format | Article |
| id | doaj.art-06cf647dfef74f519d90993dab756860 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-11T19:06:57Z |
| publishDate | 2021-08-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-06cf647dfef74f519d90993dab7568602022-12-22T04:07:43ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942021-08-0159610.18502/acta.v59i6.6890Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fittingtooran makhdoumitahereh eftekhar0zinat ghanbari1leila pourali2maryam deldar pesikhani3soodabeh darvish4elnaz ayati5maryam hajhashemi6zahra lotfi7Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.BC of Midwifery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Introduction: Pelvic organ prolapse (POP) is the descend of pelvic organs including uterus, bladder, and rectum to the vaginal wall. Patients with POP may present with symptoms such as vaginal bulging with other symptoms like urinary, defecatory or sexual dysfunction. This study was conducted to evaluate the changes of POP symptoms one year after pessary fitting. Methods: Patients with symptomatic pelvic organ prolapse who presented to the pelvic floor clinic of an academic hospital between August 2016 and April 2019 were considered. Pelvic organ prolapse symptoms including urinary, defecatory, sexual and bulging symptoms were recorded before and one year after pessary fitting. pelvic floor distress inventory (PFDI)-20 and pelvic floor impact questionnaire-7 (PFIQ-7) were evaluated before and after treatment for all subjects. Results: We analyzed the characteristics of 110 patients who used the pessary for 12 months. At the baseline, the most common prolapse symptoms were vaginal bulging and pelvic pressure. All urinary, defecatory and sexual symptoms significantly improved one year after regular pessary use(P<0.001). Changes in PFDI-20 and PFIQ-7 before and after pessary use showed the significant improvement in both frequency and satisfaction of sexual function (P<0.001). Conclusion: The study showed significant improvement in bulging, urinary, and defecatory symptoms. Although the majority of patients were not sexually active, a significant proportions of sexually active patients reported an increase in sexual satisfaction.https://acta.tums.ac.ir/index.php/acta/article/view/9030pelvic organ prolapsepessaryurinary symptomsquality of life |
| spellingShingle | tooran makhdoumi tahereh eftekhar zinat ghanbari leila pourali maryam deldar pesikhani soodabeh darvish elnaz ayati maryam hajhashemi zahra lotfi Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting Acta Medica Iranica pelvic organ prolapse pessary urinary symptoms quality of life |
| title | Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| title_full | Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| title_fullStr | Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| title_full_unstemmed | Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| title_short | Changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| title_sort | changes of pelvic organ prolapse symptoms and quality of life one year after pessary fitting |
| topic | pelvic organ prolapse pessary urinary symptoms quality of life |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/9030 |
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