5: The low risk of concomitant adnexal surgery

Abstract

At follow-up, there was no difference between groups for women who achieved all symptom (85% vs 74%, P¼0.2) and all function goals (89% vs 74%, P¼0.2). On multiple logistic regression, only education level greater than college was associated with not achieving all goals (OR 3.0, 95% CI 1.2-7.6). Women who discontinued or crossed-over to surgery had smaller improvements in PFDI, PFIQ, and BIS scores and a lower proportion of goals achieved (P<0.05 for all) at the time of pessary discontinuation. CONCLUSION: Women experience long-term improvements in symptoms and quality of life with either surgical or pessary treatment of POP. Although these improvements are higher in women who opt for surgical treatment, attainment of pre-treatment goals is successful with either treatment modality. This information can be useful for the decision-making process of women considering treatment for POP.