Association between the Use of Pessary and the Length Use of Pessary with the Incident of Bacterial Vaginosis on Pelvic Organ Prolapse Patients

Abstract

Introduction and Hypothesis: Pelvic Organ Prolapse (POP) is a condition with specific signs such as

descent of the fornix anterior, fornix posterior, uterine, cervix, apex of the vagina after hysterectomy or

perineal. The use of pessary is a conservative and the first line of POP medication. Most women who used

pessaries complained about vaginal discharge, more than 50% of them were proven suffered from bacterial

vaginosis. This research was aimed to know whether there was any association between the incident of BV

with the use of pessaries and the length use of pessaries among POP patients. We hypothesized that the use

of pessaries and the length use of pessaries had a significant association with the incident of BV. This study

was a case-control study. There were 68 medical records, which were obtained through purposive sampling.

Independent variables were the use of pessaries and the length use of pessaries, the dependent variable was

the incident of BV among POP patients. Data collection sheets were the instrument of this research. Chi

Square, Fisher Exact Test and Odd ratio were used to analyze the data. This research used ?: 5%, CI: 95%

Result: This research revealed that there was a significant association between the incident of BV on POP

patients with the using of pessaries (P=0.001) and the length use of pessaries (P=0.024). Odd ratio 5.9 (95%

CI, 1.95-17.97) means patients with POP who used pessaries had a probability to suffer BV 5.9 times higher

than those who didn’t. Conclusion: there was a significant association between the incident of BV with the

use of pessaries and the length use of pessaries on POP patients.