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Pessaries may prevent the progression to pelvic organ prolapse.(Brief Article)

Women's Health Weekly

| March 13, 2003 | COPYRIGHT 2003 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2003 MAR 13 - (NewsRx.com & NewsRx.net) -- Pessaries may prevent the progression to pelvic organ prolapse.

According to recent research from the United States, "Pessaries are used for the management of pelvic organ prolapse, but it is unknown whether a pessary will prevent progression of this condition."

"The purpose of this study was to describe the course of pelvic organ prolapse among women using a pessary for at least 1 year. Among 56 consecutive women fitted with a pessary, 19 (33. 9%) continued its use under our care for at least 1 year," stated V.L. Handa and colleagues, Johns Hopkins School of Medicine, Department of Gynecology & Obstetrics.

"We compared baseline and follow-up examinations, using the Pelvic Organ Prolapse Quantitation examination system. At baseline, 16 (84.2%) had stage 3 or 4 prolapse. After 1 year we observed a significant improvement in the stage of disease (p=0.045, Wilcoxon signed rank test). Four women (21.1%, 95% confidence interval - 0.2, 43.7%) had an improvement in stage."

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