Aimjirakul Komkrit, Pumtako Mintita, Manonai Jittima
Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Int J Womens Health. 2023 Jul 12;15:1017-1025. doi: 10.2147/IJWH.S406048. eCollection 2023.
Pelvic organ prolapse (POP) is quite common and has an impact on quality of life (QoL). The evaluation of QoL after treatment for prolapse is important. The objective was to compare patient's prolapse symptoms, functional outcomes, and quality of life between pessary and surgery using standardized questionnaires at 1 and 6 months after treatment.
We conducted a prospective study including women with symptomatic POP who chose pessary or surgery as the first-line treatment. We evaluated QoL using the International Consultation on Incontinence Questionnaire-Vaginal Symptoms and Prolapse Quality of Life questionnaires.
Seventy-two participants were enrolled, with 36 in each group. Body mass index, menopausal status, marital status, number of vaginal deliveries, and stage of pelvic organ prolapse were not significantly different between the groups. At 1 and 6 months after treatment, participants in both groups reported significant improvement in prolapse symptoms, functional outcomes, and overall quality of life. At 1 month after treatment, absolute changes in vaginal symptom scores in the pessary and surgery groups were -16.67 and -19.03, respectively (p > 0.05); at 6 months, the absolute changes were -19.21 and -19.25, respectively (p > 0.05). Significant improvement was only found in role limitation and physical and social domains at both follow-up times after surgery.
At 1 and 6 month(s) after treatment, women with symptomatic POP reported substantial improvement in prolapse symptoms and functional outcomes when treated with pessary or surgical correction.
盆腔器官脱垂（POP）颇为常见，会对生活质量（QoL）产生影响。评估脱垂治疗后的生活质量很重要。目的是在治疗后1个月和6个月使用标准化问卷比较子宫托和手术治疗患者的脱垂症状、功能结局及生活质量。
我们进行了一项前瞻性研究，纳入有症状的盆腔器官脱垂且选择子宫托或手术作为一线治疗的女性。我们使用国际尿失禁咨询委员会阴道症状问卷和脱垂生活质量问卷评估生活质量。
共纳入72名参与者，每组36名。两组间体重指数、绝经状态、婚姻状况、阴道分娩次数及盆腔器官脱垂分期无显著差异。治疗后1个月和6个月，两组参与者的脱垂症状、功能结局及总体生活质量均有显著改善。治疗后1个月，子宫托组和手术组阴道症状评分的绝对变化分别为-16.67和-19.03（p>0.05）；6个月时，绝对变化分别为-19.21和-19.25（p>0.05）。仅在手术后的两次随访中，角色限制以及身体和社会领域有显著改善。
治疗后1个月和6个月，有症状的盆腔器官脱垂女性在接受子宫托或手术矫正治疗后，脱垂症状和功能结局有显著改善。
