지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.1
- 수록면
- 94 - 99 (6page)
이용수
초록· 키워드
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ObjectiveTo identify the factors associated with unsuccessful pessary fitting and reasons for pessary discontinuation in Koreanwomen with pelvic organ prolapse (POP).
MethodsThe medical records of 234 patients who underwent pessary fitting for the management of symptomatic POP wereretrospectively reviewed. A ring pessary with or without support was used. Successful pessary fitting was defined asthe ability to wear a pessary for 2 weeks without any discomfort. Factors associated with unsuccessful pessary fittingwere determined using a multivariable logistic regression analysis. A Kaplan-Meier survival curve was obtained toexamine the probability of continuing pessary use over the follow-up period. The reasons for the discontinuation ofpessary were identified.
ResultsTwo-hundred-and-twenty-five women were included in the analysis. The rate of unsuccessful pessary fitting was 40%.
Prior hysterectomy (odds ratio [OR], 4.13; 95% confidence interval [CI], 1.81-9.42) and POP quantification stage III-IV(OR, 2.49; 95% CI, 1.28-4.85) were independent risk factors for unsuccessful pessary fitting. Among the patients withsuccessful pessary fitting, the median time to discontinuation of pessary use was 4 years. The most common causes ofdiscontinued use were vaginal erosion (45.3%) and urinary incontinence (26.5%).
ConclusionPatients with a history of hysterectomy and advanced-stage POP are at risk for an unsuccessful fitting of the ringpessary. Vaginal erosion is the main reason for discontinued use among patients with successful pessary fitting.
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