Korean J Obstet Gynecol.
2000 May;43(5):806-810.
Clinical study of the use of silicone ring pessary in management of pelvic organ prolapse
Abstract
OBJECTIVE
To evaluate the safety and efficacy of the silicone ring pessary in the management of pelvic organ prolapse.
METHODS
This study was evaluated for the clinical analysis of 58 pelvic organ prolapse patients who visited our hospital
and weared silicone ring pessary from January 1997, to December 1998. RESULTS: Among 58 patients, failure rate
was 13.7%(8/58) and complication rate was 50%(29/58). Main causes of failure were vaginal ulcer(4 cases) and recurrent
falling out of pessary(3 cases). Most common problems were recurrent falling out of pessary(10 cases) and vaginal erosion
with or without ulcer(9 cases), vaginitis(6 cases). There was no significant difference of failure rates and complication rates
between hysterectomized patients and the non-hysterectomized patients.
CONCLUSION
In management of pelvic organ prolapse which unsuitable for operation, pessary is noninvasive, simple and effective alternative method.