title: Sexual and organ function in patients with symptomatic prolapse: are pessaries helpful?
abstract: OBJECTIVE
  To evaluate quality of life and pelvic organ and sexual function before and during pessary use in patients with symptomatic pelvic organ prolapse and to determine reasons which lead to cessation of pessary use.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  Tertiary referral center.
  
  
  METHODS
  Patients with symptomatic stage II or more prolapse of the anterior, posterior, or apical vaginal wall with or without uterus were included in this study.
  
  
  METHODS
  We used the Female Sexual Function Index questionnaire and the Sheffield prolapse questionnaire. For quality of life we used the King's Health Questionnaire.
  
  
  METHODS
  Main outcome measures were quality of life and sexual and pelvic organ function.
  
  
  RESULTS
  A total of 73 women participated in this study; 31 were sexually active. Desire, lubrication, and sexual satisfaction showed statistically significant improvement, and orgasm remained unchanged. Statistically significant improvement in the feeling of bulge occurred during therapy, stool outlet problems were significantly improved, overactive bladder symptoms were significantly better, and pessaries did not significantly alter incontinence.
  
  
  CONCLUSIONS
  Pessaries have been shown to be a viable noninvasive treatment for pelvic organ prolapse improving organ and sexual function as well as general wellbeing.
authors.affiliation: Department of Gynecology, Division of Urogynecology, Inselspital and University of Bern, Bern, Switzerland. annette.kuhn@insel.ch
authors.forename: Annette
authors.initials: A
authors.lastname: Kuhn
authors.forename: Doris
authors.initials: D
authors.lastname: Bapst
authors.forename: Werner
authors.initials: W
authors.lastname: Stadlmayr
authors.forename: Kathleen
authors.initials: K
authors.lastname: Vits
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D010570:Pessaries; D011446:Prospective Studies; D012725:Sexual Behavior; D014596:Uterine Prolapse / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*