E-Posters-Factors Affecting Patient Choice for Continued Observation versus Intervention for Pelvic Organ Prolapse

Factors Affecting Patient Choice for Continued Observation versus Intervention for Pelvic Organ Prolapse - Marieme Mbaye, MD

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The study enrolled 111 subjects with a mean age of 66 years. The majority of participants were white, and the mean body mass index was 29.0. Most subjects had prior hysterectomy and pelvic surgery for pelvic organ prolapse or urinary incontinence. The median follow-up was 24 months.<br /><br />At the last recorded visit, 66% of subjects continued with observation while 34% chose pessary or surgery as treatment. There was no worsening of the pelvic organ prolapse stage or an increase in the leading edge of the prolapse in those who chose intervention compared to those who continued with observation. However, there was a significant increase in prolapse symptom bother in those who chose intervention.<br /><br />The study's results, depicted in Figure 2, suggest that treatment choice did not affect the progression of prolapse, but it did impact symptom bother.

Keywords

study

subjects

mean age

pelvic organ prolapse

urinary incontinence

follow-up

treatment

prolapse stage

intervention

symptom bother