The Impact of Long-term Pessary Use on Pelvic Organ Prolapse oìduring Covid-19 Pandemic in Patients Attending Surgery

ABSTRACT

ConditionPelvic Organ Prolapse;Vaginal Prolapse

InterventionProcedure Vaginal pessary before surgery for pelvic organ prolapse

Primary outcome:evaluate a change in POPQ points on examination at the time of surgery from baseline evaluation.

Criteria
Inclusion Criteria

- Pelvic organ prolapse with POP-Q stage >/= 3 in anterior and/or central compartments

- Women between 45 and 80 years old

Exclusion Criteria

- Women who refuse to participate in the study

- Patients without baseline POPQ examination documented or with a pessary previously
positioned

- Previous pelvic surgeries

- Women with any contraindication for surgery or preference for conservative treatment
only (pelvic muscle exercise, vaginal pessary)

- Women who are not successfully fitted with pessaries

- Current genital ulcers/infections

- Active or chronic pelvic infection

- Women who are mentally incapable of completing the questionnaires.