Table 1.
Baseline characteristics | Pessary therapy n=218 |
Surgery n=221 |
Age, mean (SD) | 64.8 (9.5), n=218 | 64.7 (9.2), n=221 |
Risk-increasing aspects*, n, (%) | 71 (32.6), n=218 | 58 (26.2), n=221 |
History of gynaecological surgery, n (%) | 22 (10.1), n=218 | 28 (12.7), n=221 |
Family history of prolapse, n (%) | 106 (48.6), n=218 | 107 (49.5), n=216 |
Parity, median (IQR) | 2.0 (2–3), n=215 | 2.0 (2–3), n=220 |
Postmenopausal, n (%) | 186 (92.5), n=201 | 185 (90.2), n=205 |
Duration of symptoms in months, median (IQR) | 6 (2–24), n=211 | 6 (3–24), n=216 |
Vaginal atrophy, n (%) | 106 (56.7), n=187 | 110 (57.3), n=192 |
Prolapse stage, n (%) | ||
II (moderate) | 85 (39.0), n=218 | 102 (46.2), n=221 |
≥III (severe) | 133 (61.0), n=218 | 119 (53.9), n=221 |
PGIS score, n (%) | ||
I (not severe) | 13 (6.3), n=205 | 9 (4.4), n=205 |
II (mild) | 48 (23.4), n=205 | 50 (24.4), n=205 |
III (moderate) | 99 (48.3), n=205 | 112 (54.6), n=205 |
IV (severe) | 45 (22.0), n=205 | 34 (16.6), n=205 |
PFDI-20 score†, n (%) | ||
POPDI-6 score | 29.5 (19.2), n=210 | 28.7 (15.6), n=208 |
CRADI-8 score | 13.9 (15.1), n=210 | 12.1 (12.6), n=208 |
UDI-6 score | 26.0 (22.0), n=209 | 25.2 (20.0), n=208 |
PFDI-20 total score | 69.3 (45.7), n=209 | 65.9 (37.7), n=208 |
EQ-5D utility value‡, mean (SD) | 0.87 (0.15), n=209 | 0.85 (0.15), n=206 |
*Presence of one or more comorbidities: smoking, use of antidepressants, obesity, diabetes mellitus, chronic pulmonary disease.
†PFDI-20: the subscale scores range from 0 to 100 and the total score ranges from 0 to 300. Higher scores indicate more symptom distress.
‡EQ-5D utility values: the Dutch EQ-5D tariffs range from −0.33 to 1.
%, proportion; CRADI-8, Colorectal-Anal Distress Inventory; IQR, interquartile range; n, number of women; PFDI-20, Pelvic Floor Distress Inventory; PGIS, Patient Global Impression of Severity; POPDI-6, Pelvic Organ Prolapse Distress Inventory; SD, standard deviation; UDI-6, Urinary Distress Inventory.