Abdool Zeelha, Thakar Ranee, Sultan Abdul H, Oliver Reeba S
Mayday University Hospital, London Road, Croydon, Surrey CR7 7YE, UK.
Int Urogynecol J. 2011 Mar;22(3):273-8. doi: 10.1007/s00192-010-1340-9. Epub 2010 Dec 16.
The aim of this study is to evaluate and compare the effectiveness of pessaries and surgery in women with symptomatic pelvic organ prolapse.
A total of 554 women with symptomatic pelvic organ prolapse (POP) were recruited and treated with either a vaginal pessary (n = 359) or surgery (n = 195). Using the validated Sheffield POP questionnaire, outcomes were evaluated and then compared at 1 year.
At 1 year, the only significant difference between the two groups was increased frequency of intercourse in the surgery group (54% vs 46%; p = 0.028), which was not significant when controlled for age. There was a statistically significant improvement in prolapse, urinary, bowel, and sexual function in both pessary users and those treated surgically.
One year after treatment, women with POP report similar improvement in urinary, bowel, sexual function, and quality of life parameters when treated with pessary or surgical correction.
本研究旨在评估并比较子宫托与手术治疗有症状盆腔器官脱垂女性的有效性。
共招募554例有症状盆腔器官脱垂（POP）的女性，分别采用阴道子宫托治疗（n = 359）或手术治疗（n = 195）。使用经过验证的谢菲尔德盆腔器官脱垂问卷评估结局，并在1年时进行比较。
1年时，两组之间唯一的显著差异是手术组性交频率增加（54%对46%；p = 0.028），在对年龄进行校正后该差异不显著。子宫托使用者和接受手术治疗者在脱垂、泌尿、肠道和性功能方面均有统计学显著改善。
治疗1年后，盆腔器官脱垂女性经子宫托或手术矫正治疗后，在泌尿、肠道、性功能和生活质量参数方面的改善相似。
