RT info:eu-repo/semantics/article
T1 Pessary with perineal suture for treatment of pelvic organ prolapse: description and benefit of the technique
A1 Pérez Febles, Marta
A1 Miguel Manso, María Sonia de
A1 García García, Elena
A1 López País, María
A1 Cuaresma González, María
A1 Ibáñez Nieto, Marta
K1 POP
K1 Pessary
K1 Perineal suture
K1 32 Ciencias Médicas
K1 3201.08 Ginecología
AB Introduction and hypothesis:Vaginal pessaries are used as a conservative treatment for POP in women who do not want or are not candidates for surgery, or as a preliminary step to surgery. Our goals are: evaluate the evolution of patients with advanced POP and repeated expulsion of the pessary, who underwent perineal suture to try to maintain the device. Describe the epidemiological characteristics of patients treated with pessaries in our environment, with or without perineal closure.Methods: Observational, descriptive and prospective study (October 2016-March 2021) that includes 352 women with advanced-stage POP treated with a pessary, of which 55, after repeated expulsion of the pessary, were treated with a pessary and perineal suture.Results: After pessary insertion associated with perineal closure, 26 patients (47.2%) expelled the pessary and underwent surgery, and 29 (52.8%) kept the device, avoiding surgery. Regarding the women who required perineal suture: The mean age was higher than in the group of patients who did not need this intervention (75.3 vs. 68.3 years), 94.5% had POP ≥ grade III and 100% had a perineal width > 2.5 cm.Conclusions: Treatment with pessary and perineal closure avoids surgery in women with advanced age and repeated expulsion. Although age should not be an independent factor that limits surgical treatment or the type of intervention, it would be useful to have scales to quantify the frailty of patients, being able to standardize perineal closure in elderly and/or frail women, and in those who do not want or have contraindications for surgery.
PB Springer
SN 0932-0067
YR 2022
FD 2022
LK https://uvadoc.uva.es/handle/10324/57796
UL https://uvadoc.uva.es/handle/10324/57796
LA eng
NO Archives of Gynecology and Obstetrics, 2022.
NO Producción Científica
DS UVaDOC
RD 27-jun-2024