International Urogynecology Journal

, Volume 13, Issue 6, pp 349–352

Do Pessaries Prevent the Progression of Pelvic Organ Prolapse?

  • V. L. Handa
  • M. Jones
Original Article

DOI: 10.1007/s001920200078

Cite this article as:
Handa, V. & Jones, M. Int Urogynecol J (2002) 13: 349. doi:10.1007/s001920200078

Abstract:

Pessaries are used for the management of pelvic organ prolapse, but it is unknown whether a pessary will prevent progression of this condition. The purpose of this study was to describe the course of pelvic organ prolapse among women using a pessary for at least 1 year. Among 56 consecutive women fitted with a pessary, 19 (33.9%) continued its use under our care for at least 1 year. We compared baseline and follow-up examinations, using the Pelvic Organ Prolapse Quantitation examination system. At baseline, 16 (84.2%) had stage 3 or 4 prolapse. After 1 year we observed a significant improvement in the stage of disease (P = 0.045, Wilcoxon signed rank test). Four women (21.1%, 95% confidence interval −0.2, 43.7%) had an improvement in stage. No women had worsening in stage of prolapse. These data suggest that there may be a therapeutic effect associated with the use of a supportive pessary.

Key words:Pessary – Uterine prolapse – Vaginal prolapse

Copyright information

© Springer-Verlag London Limited 2002

Authors and Affiliations

  • V. L. Handa
    • 1
  • M. Jones
    • 2
  1. 1.Johns Hopkins School of Medicine, BaltimoreUS
  2. 2.University of California Davis School of Medicine, Sacromento, California, USAUS