Clinical study of the use of silicone ring pessary in management of pelvic organ prolapse.

Lee, Wee Hyun; Kim, Hyun Chul; Sunwoo, Tae Won

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(5):806-810.
Published online January 1, 2001.

Clinical study of the use of silicone ring pessary in management of pelvic organ prolapse.

Wee Hyun Lee, Hyun Chul Kim, Tae Won Sunwoo

Abstract

OBJECTIVE
To evaluate the safety and efficacy of the silicone ring pessary in the management of pelvic organ prolapse. METHODS: This study was evaluated for the clinical analysis of 58 pelvic organ prolapse patients who visited our hospital and weared silicone ring pessary from January 1997, to December 1998. RESULTS: Among 58 patients, failure rate was 13.7%(8/58) and complication rate was 50%(29/58). Main causes of failure were vaginal ulcer(4 cases) and recurrent falling out of pessary(3 cases). Most common problems were recurrent falling out of pessary(10 cases) and vaginal erosion with or without ulcer(9 cases), vaginitis(6 cases). There was no significant difference of failure rates and complication rates between hysterectomized patients and the non-hysterectomized patients. CONCLUSION: In management of pelvic organ prolapse which unsuitable for operation, pessary is noninvasive, simple and effective alternative method.

Key Words: Pessary, Pelvic organ prolapse