Patients aged 45 to 80 years with a clinical diagnosis of stage III and IV genitalprolapse involving the anterior and/or middle compartments and candidates for surgerywill be considered. These will be evaluated to observe whether there is improvement inclinical prolapse with the use of the vaginal pessary during the waiting period forsurgery
Not Provided
Procedure: Vaginal pessary before surgery for pelvic organ prolapse
use of vaginal pessary for patients waiting for gynecological surgery for stage III and
IV pelvic organ prolapse
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.
IRCCS San Raffaele Hospital
Milan, Italy
Not Provided