Factors Affecting the Incident of Bacterial Vaginosis in Pelvic Organ Prolaps Patients Using Pesarium during 2016-2019 in the Department Of Obstetry and Gynecology Rsud Dr. Soetomo Surabaya

• Main Authors: Norma Pattinama, Eighty Mardiyan Kurniawati, Hari Paraton, Gatut Hardianto, Azami Denas Azinar, Tri Hastono Setyo Hadi
• Format: Article PeerReviewed
• Language: English; Indonesian; English
• Published: IOSR 2021
• Subjects: R5-920 Medicine (General)
• Online Access: https://repository.unair.ac.id/124454/1/13.%20Artikel%2080.pdf; https://repository.unair.ac.id/124454/2/13.%20Karil.pdf; https://repository.unair.ac.id/124454/3/13.turnitin.pdf; https://repository.unair.ac.id/124454/; https://www.iosrjournals.org/iosr-jnhs/papers/vol10-issue4/Ser-4/E1004043945.pdf
• Institution: Universitas Airlangga

Abstract Background: Pelvic organ prolapse (POP) is the reduction of one or more female pelvic organs (vagina, uterus, bladder, rectum) into the vagina. With increasing age, the prevalence of POP also increases. Apart from age, risk factors for POP are multifactorial, namely vaginal delivery, increased body mass index (BMI), and a history of previous hysterectomy. Most of the patients with POP are asymptomatic and do not require treatment, but if necessary, one non-surgical approach is to use pessaries. A pessary is a medical device that is inserted into the vagina to provide structural support for pelvic organ prolapse or as a method of drug administration. Pessary use has side effects, with the most common being vaginal discharge (33%), vaginal irritation / pain (2- 3%) and vaginal bleeding. Bacterial vaginosis (BV) is a clinical syndrome that shows foul-smelling vaginal discharge and an increase in vaginal pH. Bacterial Vaginosis diagnosis was based on Nugent's clinical criteria. One of the risk factors for BV in patients with pelvic organ prolapse using pessaries is smoking. Researchers wanted to know the factors that play a role in the occurrence of BV in POP patients using pessaries. Methods: Data were collected through medical records of patients with pelvic organ prolapse using pessaries for the period 2016-2019 in the Department of Obstetrics and Gynecology, Dr. Soetomo Surabaya who met the inclusion and exclusion criteria, then performed a multivariate statistical test analysis. Results: There were 36 patients experiencing BV out of a total of 47 patients using pessaries in POP patients while 11 other patients did not experience BV out of a total of 47 patients using pessaries in POP patients. A statistical test was carried out and it was found that menopausal status and BMI had a significant effect on the risk of BV in POP patients (p=0,001 dan p=0,004). Meanwhile, smoking was found to have no significant effect on the incidence of BV in POP patients who used pessaries. Conclusion: POP patients with high BMI have an increased risk of developing BV while menopausal duration ≥ 10 years, the risk of BV on pessary use will increase. Keywords: Pelvic organ prolapse, bacterial vaginosis, BV, pessaries, smoking