Background: Pelvic organ prolapse (POP) is a common disease. Vaginal pessaries are a treatment option. Some specialists prefer surgery as the treatment of choice. Objective: To describe the subjective response and complications associated with the use of pessaries in patients ≤65 years old with POP in Dr. Sotero del Rio Hospital. Methods: Retrospective study of patients with symptomatic POP ≤65 and use pessary between July 2009 and November 2012. And assessment of the subjective results of using the PGI-I pessaries scale was used. Results: 49 patients met the inclusion criteria. In 39 patients the fitting was successful. 25 of 39 patients were able to access and use the pessary. 6 patients discontinued treatment. The median age was 62.5 years. 48% were sexually active. Median follow-up was 9 weeks. According POP-Q 60 % were in stage III. The type of pessary was the most used Gellhorn. 13 patients had adverse effects. The subjective response improvement was available in 15 (64%) of 25 patients. 88 % noted significant subjective improvement. Conclusion: The use of vaginal pessaries in patients under 65 with POP is feasible, associated with subjective improvement in symptoms, with low complication rate. Prospective studies are needed with larger sample sizes to evaluate this subgroup.
Constanza Ralph, T., Danisa Ivanovic-Zuvic, S., Bernardita Blümel, M., Silvana Gonzalez, L., & Pizarro-Berdichevsky, J. (2014). Uso de pesarios en mujeres menores de 65 años con diagnóstico de prolapso de órganos pelvianos: Estudio de factibilidad. Revista Chilena de Obstetricia y Ginecologia, 79(3), 161–165. https://doi.org/10.4067/s0717-75262014000300003