caa a22 4500 445311126 CHVBK 20180317142630.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00404-010-1675-y doi (NATIONALLICENCE)springer-10.1007/s00404-010-1675-y Manchana Tarinee Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, 10330, Bangkok, Thailand aut Ring pessary for all pelvic organ prolapse [Elektronische Daten] [Tarinee Manchana] Purpose: To evaluate the risk factors of unsuccessful fitting of ring pessary in pelvic organ prolapse (POP), continuation rate, and adverse events. Methods: The ring pessary was offered to 100 symptomatic POP patients. POP was staged according to Pelvic Organ Prolapse Quantification (POP-Q) system. A successful fitting was defined as when patients continued pessary use for more than 2weeks. Adverse events were evaluated in patients who had a successful fitting. Results: Most patients (71%) were in POP-Q stage III-IV and 77 patients were fitted at the initial visit. Successful fitting was reported in 62 patients (62%). However, 52 patients (52%) continued to use the pessary at 13months median follow-up. The most common reason for discontinuation was frequent pessary expulsion. Short vaginal length ≤6cm and wide introitus >4 fingerbreadths were the significant risk factors for unsuccessful fitting. New onset of stress urinary incontinence (SUI) developed in 28.2% of patients. One third and 21% of patients had vaginal discharge and vaginal erosion, respectively. Only half of the patients could manage the pessary either by themselves or with their caregivers. Conclusion: The ring pessary fitting can be attempted in all POP cases irrespective of stage. Short vaginal length <6cm and wide introitus >4 fingerbreadths were the risk factors for unsuccessful fitting. It has an acceptable continuation rate and manageable adverse events. The self-care of pessary is an important strategy to minimize adverse events. Springer-Verlag, 2010 Adverse events nationallicence Pelvic organ prolapse nationallicence Pessary nationallicence Risk factors nationallicence Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 391-395 0932-0067 284:2<391 2011 284 404 https://doi.org/10.1007/s00404-010-1675-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1675-y text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Manchana Tarinee Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, 10330, Bangkok, Thailand aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 391-395 0932-0067 284:2<391 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer