Complications and outcome following use of pessary in women with pelvic organ prolapse
KC Ekwedigwe, ME Isikhuemen, I Sunday-Adeoye, MO Eliboh, CC Anikwe
Background: Vaginal pessary is very important in the conservative management of women with pelvic organ prolapse. It is patient friendly, safe and minimally invasive. The aim of this study was to review our experience with the use of vaginal pessary for management of pelvic organ prolapse.
Methods: This retrospective study was conducted at the National Obstetric Fistula Centre, Abakaliki South-East Nigeria. The medical records of women that were managed for pelvic organ prolapse using vaginal pessary between June 2012 and May 2016 were reviewed. Data was analysed using Statistical Methods. Ethical clearance for this research was obtained from the Research and Ethics committee of the National Obstetric Fistula Centre, Abakaliki.
Results: One hundred and one (101) women with pelvic organ prolapse had vaginal pessary. These women had various forms of pelvic organ prolapse (those with third degree uterovaginal prolapse were offered surgery). The mean age was 49 years while the mean parity was 5. All women who were offered pessaries accepted this modality of treatment. Overall, 12(11.9%) had minor complications. The main complication was dislodgement of pessary requiring multiple insertions as seen in 10 (9.9%) of the patients. Sixty-two (61.4%) of the patients had complete or partial resolution of symptoms.
Conclusion: Vaginal pessary is an option in the conservative management of pelvic organ prolapse. It is acceptable with few associated complications and can lead to improvement of symptoms in women with pelvic organ prolapse.
KC Ekwedigwe, ME Isikhuemen, I Sunday-Adeoye, MO Eliboh, CC Anikwe. Complications and outcome following use of pessary in women with pelvic organ prolapse. International Journal of Medical and Health Research, Volume 4, Issue 5, 2018, Pages 104-106