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June 26, 2026Gynecologic and Obstetric Investigation

Comparison of colpocleisis and long-term pessary therapy in the management of severe pelvic organ prolapse - A retrospective observational study

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Authors

OOOrsolya OláhMRMiklós RomicsDKDóra Kéninger

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Overview

Retrospective study compares symptom improvement in elderly women with severe pelvic organ prolapse, suggesting both methods are effective.

Key Points

  • The study aims to compare the effectiveness and complications of pessary therapy versus vaginal obliteration in elderly women with severe pelvic organ prolapse.
  • Retrospective observational study at a single center, including 76 elderly women with severe POP.
  • Patients received long-term pessary therapy or vaginal obliteration; follow-up durations averaged 41.9 and 61.9 months, respectively.
  • Data collected through clinical documentation and a standardized questionnaire, analyzing pre- and post-treatment parameters.
  • High symptom resolution rates observed: 93.5% for pessary therapy vs. 95.5% for vaginal obliteration.
  • Post-treatment symptom improvement greater for vaginal obliteration with VAS: 8.9 ± 1.1 vs. 7.7 ± 1.7 (p < 0.001).
  • Pessary therapy required discontinuation in 23.3% of cases, with a 20% subsequent surgical intervention rate.

Cite This Study

Oláh et al. (2026) studied this question.

synapsesocial.com/papers/6a3e1a93030ad1a9b3092eefhttps://doi.org/10.1159/000553119
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Demographic, socioeconomic and functional health-related factors in the selection of vaginal pessaries used for the conservative treatment of pelvic organ prolapse: a retrospective study2025
  2. 2Colpocleisis as an obliterative surgery for pelvic organ prolapse: A single-center experience2026 · 2 citations
  3. 3Quality of Life after Treatment for Pelvic Organ Prolapse in Real-World Study: Recommendations, Vaginal Pessary, and Surgery2024 · 4 citations
  4. 4Cost-effectiveness of pessary therapy versus surgery for symptomatic pelvic organ prolapse: an economic evaluation alongside a randomised non-inferiority controlled trial2024 · 6 citations
  5. 5Primary Treatment of Pelvic Organ Prolapse in Women Aged Over 80 Years: Pessary Versus Surgery2026