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Introduction and Hypothesis <p>The objective was to determine the success rate of pessary self-management (PSM) and identify influencing factors among the Hong Kong Chinese population with pelvic organ prolapse (POP).</p> Methods <p>A prospective study was conducted from November 2023 to April 2024 across three local tertiary hospitals. A total of 165 Chinese women with POP using a ring pessary were enrolled. Exclusion criteria included dependency, limited dexterity, and cognitive impairment. Participants received a standardized one-to-one PSM teaching session. Success was defined as continuing PSM at the 1-year follow-up. Statistical analysis identified factors associated with success.</p> Results <p>The PSM success rate was 86.7% (143 out of 165). The successful group was significantly younger (mean 68.7 vs 73.9&#xa0;years, <i>p</i> = 0.011), had higher education levels (<i>p</i> = 0.023), with lower parity (median 2 vs 3, <i>p</i> = 0.048), and less advanced stages of POP (88% stages 1–2 vs 54.5%, <i>p</i> &lt; 0.001). Contrary to initial hypotheses, successful PSM was associated with the use of a larger pessary (69.8&#xa0;mm vs 66.6&#xa0;mm, <i>p</i> = 0.047).</p> Conclusions <p>PSM is a highly viable and successful strategy for Chinese women, with a success rate comparable with Western populations. Key factors for success include younger age, higher education, milder prolapse, and the use of a larger pessary. These findings support the early introduction of PSM to suitable patients to enhance patient empowerment and optimize conservative POP management.</p>

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The Success Rate of Hong Kong Chinese Women with Pelvic Organ Prolapse in Pessary Self-Management: a Multi-Centered Prospective Study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月17日

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  • Samson Chin Ho Lau,
  • Wai Lam Chan,
  • Wing Tung Cheng,
  • Rachel Yau Kar Cheung,
  • Symphorosa Shing Chee Chan

摘要

Introduction and Hypothesis

The objective was to determine the success rate of pessary self-management (PSM) and identify influencing factors among the Hong Kong Chinese population with pelvic organ prolapse (POP).

Methods

A prospective study was conducted from November 2023 to April 2024 across three local tertiary hospitals. A total of 165 Chinese women with POP using a ring pessary were enrolled. Exclusion criteria included dependency, limited dexterity, and cognitive impairment. Participants received a standardized one-to-one PSM teaching session. Success was defined as continuing PSM at the 1-year follow-up. Statistical analysis identified factors associated with success.

Results

The PSM success rate was 86.7% (143 out of 165). The successful group was significantly younger (mean 68.7 vs 73.9 years, p = 0.011), had higher education levels (p = 0.023), with lower parity (median 2 vs 3, p = 0.048), and less advanced stages of POP (88% stages 1–2 vs 54.5%, p < 0.001). Contrary to initial hypotheses, successful PSM was associated with the use of a larger pessary (69.8 mm vs 66.6 mm, p = 0.047).

Conclusions

PSM is a highly viable and successful strategy for Chinese women, with a success rate comparable with Western populations. Key factors for success include younger age, higher education, milder prolapse, and the use of a larger pessary. These findings support the early introduction of PSM to suitable patients to enhance patient empowerment and optimize conservative POP management.