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Prospective Evaluation of Outcomes of mechanical devices in Women with Symptomatic Pelvic Organ Prolapse in Ogbomoso, South-Western Nigeria

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Open Journal of Obstetrics and Gynecology 2021年第4期11卷 461-473页

作者： Akintunde Olusegun Fehintola Olufemi Timothy Awotunde Olumuyiwa Ayotunde Ogunlaja Lawrence Olujire Olujide Samuel Eniola Akinola Sunday Adekunle Oladeji Babatola Bakare Olurotimi Idowu Aaron Department of Obstetrics Gynaecology and Perinatology Obafemi Awolowo University Ile-Ife Osun State Nigeria Department of Obstetrics and Gynaecology Bowen University Teaching Hospital Ogbomoso Oyo State Nigeria Department of Obstetrics and Gynaecology Royal Hampshire County Hospital Winchester UK Department of Obstetrics & Gynaecology Unimed Teaching Hospital Ondo Ondo State Nigeria Department of Anaesthesia Obafemi Awolowo University Ile-Ife Osun State Nigeria

Background: Symptomatic pelvic organ prolapse (POP) impacts the sufferers’ quality of life negatively. There is a preference for a mechanical device in certain conditions though the definitive management of POP is surgical. Objectives: We conducted the study to evaluate the outcome of management of POP using mechanical devices. Methods: It was a prospective study. It took place in the gynecology unit of the Bowen University Teaching Hospital Ogbomoso between May 2014 and April 2019. We followed up with eligible patients who opted for pessary use for a median duration of 18 months (Range 12 - 84 months). We excluded those who refuse to participate in the study. Results: Of the 127 patients with symptomatic POP, seventy-five (59.1%) opted for the use of mechanical devices, and 70 successfully retained them four weeks after insertion. We lost Six (9.2%) patients to follow up. Of the 64 women included in the analysis, 16 (25%) discontinued use at so

关键词： mechanical device Symptomatic Pelvic Organ Prolapse Complications Dis-continuation

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