Managing pelvic organ prolapse with the aid of vaginal pessaries

Abstract

This article provides an overview of pelvic organ prolapse, a condition affecting around 40% of women over the age of 40, with significant implications for quality of life. It outlines the anatomical, physiological, and risk factors contributing to the development of prolapse, such as childbirth, advancing age, and increased body mass index. The article emphasizes the importance of thorough clinical assessment, including the use of the POP-Q staging system, to determine the severity and type of prolapse. Special focus is given to the role of vaginal pessaries as a conservative management option, highlighting their utility in symptom alleviation and maintenance of quality of life for women who may not be suitable for or wish to avoid surgery. We describe in detail different types of pessaries for use as well as information regarding the benefits of teaching patients to self-manage their pessaries.