Incidence of Bacterial Vagniosis and Aerobic Vaginitis before and after Pessary Insertion in Indonesia Kurniawati Eighty Mardiyan1,*, Toma Faria1, Parathon Harry1, Hardianto Gatut1, Denas Azami Azinar1, Deborah Kartuti2, Alkaff Firas Farisi3 1Departement of Obstetrics and Gynaecology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia 2Departement of Microbiology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia 3Department of Pharmacology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia *Corresponding Author: Eighty Mardiyan Kurniawati, Departement of Obstetrics and Gynaecology, Faculty of Medicine, Universtitas Airlangga, Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia, Phone: +6287851971399, Email: eightymardiyankurniawati@gmail.com
Online published on 23 December, 2019. Abstract Background Pelvic organ prolaps (POP) is the most common gynecological condition in women and its incidence increases with age. Among all treatments option available, the most commonly used was pessary treatment. However, the use of pessary has several side effects, and the most common one is leucorrhoea due to Bacterial Vaginosis (BV) or Aerobic Vaginitis (AV). This study aims to evaluate the incidence of BV and AV before and after pessary insertion in postmenopausal women with POP in Indonesia. Method This study was an observational analytical study conducted at outpatient clinic Department of Obstetric and Gynecology Dr. Soetomo General Hospital on August-October 2016. Subject of this study was postmenopausal women with POP who were about to be treated with pessary. Vaginal secretion samples were taken before pessary insertion and 4 weeks after insertion. Gram staining, microbiology culture, and pH evaluation was done for BV and AV evaluation. Result There were a total of 20 patients included in this study. The incidence of BV before and 4 weeks after pessary insertion was significantly higher (0 vs 16, p < 0.05), while the incidence of AV before and 4 weeks after pessary insertion was not significantly higher (1 vs 5, p = 0.29). There was a significant increase in the pH evaluation before and after pessary insertion (6.2 ± 0.62 vs 6.4 ± 0.53, p= 0.008). The most common microorganism found in vaginal swab was Escherichia coli. Conclusion BV incidence was significantly increased after pessary insertion in postmenopausal women with POP. Top Keywords Aerobic Vaginitis, Bacterial Vaginosis, Postmenopause, Pelvic organ prolapse, Pessary. Top |