Comparison before and after pessary use satisfaction at 3 and 6 months
| Before pessary Mean score (SD) | After pessary 3 months Mean score (SD) | After pessary 6 months Mean score (SD) | P | |
|---|---|---|---|---|
| VASS | 22.9 (19.3) | 78.9 (18.7) | 88.2 (16.2) | <0.001** |
Changes in POP-Q stage
| Change in POP-Q stage | After pessary 6 months, n (%) |
|---|---|
| No change | 34 (92) |
| 1 stage improvement | 2 (5) |
| 2 stages improvement | 1 (3) |
| Worsen | 0 (0) |
Patient Characteristics
| Age (y), mean (SD) | 68.7 (7.6) |
| BMI (kg/m2), mean (SD) | 23.5 (3.3) |
| Vaginal delivery, median (range) | 3 (0−8) |
| POP-Q stage, n (%) | |
| II | 11 (28%) |
| III | 20 (50%) |
| IV | 9 (23%) |
| Comorbidities, n (%) | |
| Hypertension | 25 (63%) |
| Diabetes | 13 (33%) |
| Dyslipidemia | 12 (30%) |
| Thyroid diseases | 5 (13%) |
| Breast cancer | 1 (3%) |
| Previous hysterectomy, n (%) | 5 (13%) |
| Previous prolapse surgery, n (%) | 2 (5%) |
| Menopause, n (%) | 40 (100%) |
| Sexually active, n (%) | 5 (13%) |
Comparison of quality of life scores before and after pessary use at 3 and 6 months
| Domains | After pessary 3 months mean score (SD) | After pessary 6 months mean score (SD) | P | |
|---|---|---|---|---|
| Vaginal symptoms | 24.3 (7.7) | 10.8 (8.7) | 6.8 (6.5) | <0.001** |
| Sexual matters score | 32.0 (18.9) | 18.0 (18.3) | 12.8 (12.4) | 0.042* |
| Quality of life overall | 7.7 (2.2) | 2.9 (2.4) | 1.7 (1.9) | <0.001** |