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International Urogynecology Journal

Erschienen in:

01.08.2019 | Original Article

Vaginal pessaries in the management of symptomatic pelvic organ prolapse in rural Kilimanjaro, Tanzania: a pre-post interventional study

verfasst von: Benjamin C. Shayo, Gileard G. Masenga, Vibeke Rasch

Erschienen in: International Urogynecology Journal | Ausgabe 8/2019

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Abstract

Introduction and hypothesis

The objective of this study was to evaluate the outcomes of vaginal pessaries in managing symptomatic pelvic organ prolapse (POP) in a low-income setting.

Methods

A pre-post interventional study was conducted in the Kilimanjaro region, Tanzania. Seventy-one women with symptoms and a POP stage II or more on the POP quantification test were fitted with a vaginal pessary. Pelvic examination, POP Distress Inventory (POPDI-6) and POP Impact Questionnaire (POPIQ-7) were completed at baseline, after 3 months and after 12–18 months. Changes in the POPDI-6 and POPIQ-7 scores, complications and satisfaction associated with pessary use before and after the intervention were obtained.

Results

Pessary treatment was associated with a reduction in the overall POPDI score from 55.0 (50.0, 60.0) at baseline to 25.0 (25.0, 30.0) after 12–18 months’ use. The overall POPIQ score was reduced from 54.2 (41.7, 66.7) at baseline to 25.0 (25.0, 29.2) after 12–18 months’ use of the pessary. Vaginal discharge was reported in 72.4 and 32.4% of the women after 3 and 12–18 months’ use respectively, whereas 72.4 and 25% of the women had some degree of granuloma, erosion or infection at 3 and 12–18 months respectively. Despite the reported complications, 78% of the women were satisfied with the pessary when interviewed after 12–18 months and 81% wanted to continue using it.

Conclusions

Vaginal pessary improves symptoms and quality of life associated with symptomatic POP. Therefore, it may be a treatment option in managing POP in low-income countries such as Tanzania.

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Titel: Vaginal pessaries in the management of symptomatic pelvic organ prolapse in rural Kilimanjaro, Tanzania: a pre-post interventional study
verfasst von: Benjamin C. Shayo
Gileard G. Masenga
Vibeke Rasch
Publikationsdatum: 01.08.2019
Verlag: Springer International Publishing
Erschienen in: International Urogynecology Journal / Ausgabe 8/2019
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3748-6

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Springer Medizin

Vaginal pessaries in the management of symptomatic pelvic organ prolapse in rural Kilimanjaro, Tanzania: a pre-post interventional study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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