Managing Advanced-Stage Pelvic Organ Prolapse (POP) with Multiple Vaginal Ring Pessaries: A Retrospective Single-Centre Experience

Author(s)	Dr. Hateeza binti Zakaria, Dr. Eric Joon Xiong Chong, Dr. Atiqah Baharin, Dr. Zher Wei Teoh
Country	Malaysia
Abstract	This retrospective observational study involved 60 women with Stage III and Stage IV POP who were fitted with either double (n=55) or triple (n=5) vaginal ring pessaries between January 2023 and September 2024 at a Urogynaecology unit of a main state hospital. Twenty-six of these patients had previously used a single pessary, which was discontinued due to dislodgement. Medical records were collected for demographic data, POP-Q staging, vaginal ring size, episodes of ring dislodgement, duration of pessary retention, pessary downsizing, follow-up compliance, complications and whether patients ultimately underwent surgery. Patients who did not attend their next follow-up were successfully contacted to enquire about reasons.
Keywords	advanced-stage, pelvic organ prolapse, POP-Q, vaginal ring pessary
Field	Biology > Medical / Physiology
Published In	Volume 7, Issue 4, July-August 2025
Published On	2025-08-26
DOI	https://doi.org/10.36948/ijfmr.2025.v07i04.54522

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