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Survey of the characteristics and satisfaction degree of the patients using a pessary

Authors
 Sang Wook Bai  ;  Bo Sung Yoon  ;  Ja Young Kwon  ;  Jong Seung Shin  ;  Sei Kwang Kim  ;  Ki Hyun Park 
Citation
 INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.16(3) : 182-186, 2005 
Journal Title
INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN
 0937-3462 
Issue Date
2005
MeSH
Age Factors ; Aged ; Female ; Health Care Surveys ; Hemorrhage ; Humans ; Odorants ; Patient Satisfaction* ; Pessaries/adverse effects* ; Risk Factors ; Urination Disorders/etiology ; Uterine Prolapse/therapy*
Keywords
Pelvic organ prolapse ; Pessary ; Satisfaction degree
Abstract
The objective of this study was to evaluate characteristics, satisfaction degree, and problems of patients using a pessary for pelvic organ prolapse. A total of 104 patients who had been fitted with a pessary and available for follow-up for pelvic organ prolapse management were enrolled. The patients answered questions on general characteristics, indications for pessary use, complications from pessary use, satisfaction degree, and frequency of removal. The results indicated that 76 (73.0%) patients had at least more than one medical illness and 86 (82.7%) patients complained of lower urinary symptoms such as incontinence, urgency, frequency, or nocturia. Eighty-four (80.7%) patients used pessaries as they were not surgical candidates due to poor medical status or old age. After using a pessary, 76 (73.1%) patients had symptoms such as bleeding, erosion, or foul odor; 70.2% of the women answered that they were satisfied or more than satisfied and 19.1% of the patients removed their pessaries, of whom 80.0% were unable to continue use due to repeated expulsion of the pessary and uncomfortable fitting. These data suggest that the pessary tends to be used for high-risk patients due to medical problems or old age. Despite the high frequency of complications from pessary use, it was seen that the frequency of removing the pessary was low and the satisfaction degree was high. Most of the complications were not thought to be serious. To decrease the frequency of complications, the regular follow-up visit and proper management of pessary use were thought to be needed. Further studies are warranted on tailor-fitting the pessary by variable use and relieving the symptoms associated with the lower urinary tract.
Full Text
http://link.springer.com/article/10.1007/s00192-004-1226-9
DOI
10.1007/s00192-004-1226-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Ja Young(권자영) ORCID logo https://orcid.org/0000-0003-3009-6325
Kim, Sei Kwang(김세광)
Park, Ki Hyun(박기현)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
Shin, Jong Seung(신종승)
Yoon, Bo Sung(윤보성)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147359
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