국내 pessary사용 환자의 특성 및 만족도 조사

Abstract

Objective : To evaluate characteristics, satisfaction degree and problems of patients using a pessary for pelvic organ prolapse Methods : 104 patients who had been fitted with a pessary and available for follow-up for pelvic organ prolapse management were enrolled, and questions were underwent. Questions included general characteristics, indications for pessary use, complication from pessary use, satisfaction degree and frequency of removal. Results : 76 (73.0%) patients had at least more than one medical illness and 86 (82.7%) patients complained the lower urinary symptoms such as incontinence, urgency, frequency, or nocturia. 84 (80.7%) patients used pessaries for no surgical candidated due to poor medical status or old age. After using pessary, 76 (73.1%) patients had symptoms like bleeding, erosion, or foul odor, etc. 70.2% of women answered being satisfied or more and 19.1% of patients removed their pessaries, of whom 80.0% were unable to continue due to repeated expulsion of the pessary and uncomfortable fitting. Conclusion : There data suggest that the pessary is tend to be used for high risk patients of medical problem or old age. Despite of high frequency of complications from pessary use, it was seen that the frequency of the removal of pessary was low and the satisfaction degree was high. Most of complications were not thought to be serious and also to decrease the frequency of complications, the regular follow-up visit and proper management of pessary use were thought to be needed. It has to be studied to tailored-fitting of pessary by variable use and relieving the symptoms associated lower urinary tract.