Pain and procedural comfort during pessary replacement in women with pelvic organ prolapse. Urological and Genital Diseases
Conditions
Interventions
This study is a randomized, parallel-group controlled trial comparing two active interventions: lithotomy position (control) and left-lateral position (intervention) during routine pessary removal and
Sponsors
University of Malaya
Eligibility
Sex/Gender
Female
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Women aged 18 years and above 2. Diagnosed with pelvic organ prolapse (POP) 3. Currently using a ring pessary for management of POP 4. Scheduled for routine pessary removal and replacement at the gynaecology clinic 5. Able to lie in both lithotomy and left-lateral positions safely 6. Able to understand the study information and provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Women undergoing first-time pessary insertion 2. Presence of active vaginal infection (e.g. vaginitis, ulceration requiring treatment) 3. History of postmenopausal bleeding within the past 6 months 4. Inability to safely tolerate lithotomy or left-lateral position (e.g. severe hip or knee osteoarthritis, recent lower limb or pelvic surgery, significant spinal deformity, severe chronic back pain, or marked mobility limitation) 5. Acute vaginal complications requiring urgent management (e.g. significant bleeding, severe pain, or suspected injury) 6. Cognitive impairment or language barrier preventing understanding of the study or reliable pain scoring 7. Declines or unable to provide informed consent
Countries
Malaysia
Contacts
Public ContactAdli Hakimi;Mukhri Zulkifli;Hamdan
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Outcome results
None listed