Hsieh Ming-Fang, Tsai Hsiao-Wen, Liou Wen-Shiung, Lo Ching-Chuan, Lin Zi-Han, An Ya-Fen, Lin Hsin-Yin
Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung.
School of Medicine, National Yang-Ming University, Taipei.
Medicine (Baltimore). 2019 Apr;98(14):e15063. doi: 10.1097/MD.0000000000015063.
Vaginal pessary treatment for pelvic organ prolapse (POP) is relatively safe and cost-effective. Since long-term use is an important key to keep the benefit of pessary treatment, we would like to investigate the factors which might affect the compliance of vaginal pessaries. In this retrospective study, 65 women were included, and we found poor compliance in women with severe stress urinary incontinence (SUI) after reduction (1-hour pad test >10 gm vs ≦10 gm, 57.1% vs. 84.3%, P = .027). Besides, women younger than 60 years-old also had poor compliance (age ≦60-year-old vs >60-year-old, 58.3% vs 83.0%, P = .04). Other factors such as POP stage, history of hysterectomy, and types of pessaries, did not show significant influence on the long-term compliance in this study. Therefore, to evaluate the severity of SUI after reduction before providing pessary treatment is important to predict long-term compliance. Meanwhile, long-term pessary treatment seems to be more acceptable to elderly patients.
阴道子宫托治疗盆腔器官脱垂（POP）相对安全且具有成本效益。由于长期使用是维持子宫托治疗益处的关键，我们希望研究可能影响阴道子宫托依从性的因素。在这项回顾性研究中，纳入了65名女性，我们发现复位后患有严重压力性尿失禁（SUI）的女性依从性较差（1小时护垫试验>10克对≤10克，57.1%对84.3%，P = 0.027）。此外，60岁以下的女性依从性也较差（年龄≤60岁对>60岁，58.3%对83.0%，P = 0.04）。在本研究中，其他因素如POP分期、子宫切除术史和子宫托类型对长期依从性没有显著影响。因此，在提供子宫托治疗前评估复位后SUI的严重程度对于预测长期依从性很重要。同时，长期子宫托治疗似乎对老年患者更易接受。
