Deng M, et al. – The objectives of this are to assess the success rate, patient satisfaction and adverse events with the utilization of the ring with support pessary in patients with advanced pelvic organ prolapse (POP), and to recognize the factors related to successful pessary utilization. The ring with support pessary was successfully used for the treatment of advanced POP with high rates of success and satisfaction. A predominant prolapse in the anterior wall could be a potential impact factor for successful pessary use.

Methods

• For this research, they designed a prospective study.
• Total 151 patients with symptomatic advanced POP (POP quantification stage III/IV) came to the Centre of Obstetrics and Gynaecology, Peking Union Medical College Hospital, for POP treatment between May 2015 and December 2015.
• In all, 97 patients who chose the ring with support pessaries were incorporated into this study.
• Successful pessary use was characterized as the continuous utilization of the pessary at a 3–month follow–up visit.
• Independent–samples t tests, nonparametric tests, chi–square tests, Fisher's exact test, and logistic regression were utilized for information investigation.

Results

• In all, 82 patients continued to use the ring with support pessary for 3 months, whereas 15 patients discontinued, corresponding to a success rate of 84.5% (82/97).
• In this study, they noticed most patients (80/82, 97.6%) who achieved success using the ring with support pessary felt satisfied.
• There were no severe complications found.
• Size 3 was the most commonly used size in their center (59.8% of the study patients).
• Predominant anterior wall prolapse was related to the effective utilization of ring with support pessary (odds ratio 5.08, 95% confidence interval 1.33–19.43, P = 0.02).