Long-Term Self-Management of Vaginal Cube Pessaries Can Improve Sexual Life in Patients with Pelvic Organ Prolapse, Results from a Secondary Analysis

Nemeth, Zoltan; Vida, Peter; Markovic, Predrag; Gubas, Peter; Kovacs, Kalman [Kovács, Kálmán András (Szülészet és nőgy...), szerző] Szülészeti és Nőgyógyászati Klinika (PTE / ÁOK); Humán Reprodukciós Nemzeti Laboratórium (PTE); HUN-REN-PTE Humán Reprodukciós Kutatócsoport (PTE / KCS); Farkas, Balint ✉ [Farkas, Bálint (Szülészet-nőgyógy...), szerző] Szülészeti és Nőgyógyászati Klinika (PTE / ÁOK); Humán Reprodukciós Nemzeti Laboratórium (PTE); HUN-REN-PTE Humán Reprodukciós Kutatócsoport (PTE / KCS)

Angol nyelvű Szakcikk (Folyóiratcikk) Tudományos
  • SJR Scopus - Urology: Q1
Azonosítók
Támogatások:
  • (A kutatást Humán Reprodukciós Nemzeti Laboratórium RRF-2.3.1-21-2022-00012.10 számú projekt keretében valósult meg.)
Currently, little is known about how daily self-management of cube pessaries influences sexual function. We hypothesized that removing the cube pessary prior to sexual activity did not negatively influence the sexual function, and pessary self-care did not lead to a deterioration of sexual wellbeing.We conducted a planned secondary analysis of a prospective cohort study in which 214 patients with symptomatic pelvic organ prolapse (stage 2+) were enrolled (2015). Each patient was size fitted with a cube pessary and completed a questionnaire online or by phone ≥ 5 years after her initial fitting. Changes in quality of life were measured using the Patient Global Impression of Improvement (PGI-I).Of the 143 women included in our analyses, 92 (64.3%) were sexually active during the study period. These patients (73.9%; 68 out of 92) described their sexual wellbeing as "better" or "much better" than their pretreatment status. Sexually active patients had a better quality of life as measured by the PGI-I than the sexually inactive patients. Of the sexually active patients, 91.3% (84 out of 92) described their condition as "better" or "much better" than their pretreatment status, whereas 84.3% (43 out of 51) of the sexually inactive patients reported the same improvement. Over 90% of sexually active patients reported that removal of the vaginal cube pessary before sexual activity is not disruptive.The overwhelming majority of the patients with symptomatic pelvic organ prolapse using daily self-management of cube pessaries reported that removal of the vaginal cube pessary before sexual activity is not disruptive, and its use was accompanied by improved sexual wellbeing.
Hivatkozás stílusok: IEEEACMAPAChicagoHarvardCSLMásolásNyomtatás
2024-11-11 05:52