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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Patient characteristics associated with a successful pessary fitting
Danielle Markle1, Laura Skoczylas, Crystal Goldsmith
1From the *University of California, Irvine, CA; †Magee-Women's Hospital, University of Pittsburgh, Pittsburgh, PA; and ‡Oregon Health Sciences University Portland, OR.
Female Pelvic Medicine & Reconstructive Surgery
|March 29, 2012
Summary
Successful pessary fitting for pelvic organ prolapse (POP) is unlikely in patients with a prior hysterectomy, short total vaginal length (TVL), or a high genital hiatus (GH)/TVL ratio.
Area of Science:
- Urogynecology
- Pelvic floor disorders
Background:
- Pelvic organ prolapse (POP) affects many women, with pessary fitting being a common non-surgical treatment.
- Predicting successful pessary fitting can improve patient counseling and treatment outcomes.
Purpose of the Study:
- To determine if patient characteristics, including Pelvic Organ Prolapse Quantification (POP-Q) measurements, predict successful pessary fitting in women with POP and/or incontinence.
Main Methods:
- Retrospective chart review of 158 patients undergoing pessary fitting for POP and/or incontinence.
- Analysis of demographic parameters, pessary fitting data, and POP-Q measurements.
Main Results:
- 59% of patients were successfully fit with a pessary.
- Total vaginal length (TVL) < 8 cm and a genital hiatus (GH)/TVL ratio < 0.9 were associated with fitting outcomes.
- Prior hysterectomy increased the likelihood of unsuccessful fitting. These factors were significant predictors in patients with a prior hysterectomy.
Conclusions:
- Patients with prior hysterectomy and TVL < 8 cm or GH/TVL ratio ≥ 0.9 have a lower likelihood of successful pessary fitting.
- These findings can aid in counseling patients regarding pessary fitting success.
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