Browsing by Author "Sirirat Sarit-apirak"

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    The characteristics and satisfaction of the patients using vaginal pessaries
    (2009-01-01) Somkiat Sitavarin; Rujira Wattanayingcharoenchai; Jittima Manonai; Sirirat Sarit-apirak; Apichart Chittacharoen; Mahidol University
    Objective: To study the characteristics of pelvic organ prolapse (POP) patients that used a pessary. Design: Prospective, descriptive study Setting: Urogynecology Clinic, Ramathibodi Hospital, Faculty of Medicine, Mahidol University Material and Method: The authors conducted a prospective, observational study. The average age, parity, average body mass index, menopausal age, pessary type, and reasons for pessary use were collected in the present study. The symptoms, satisfaction, complication, and continuation rates after use were recorded. Results: For the 40 subjects, the average age was 70.4 years, the average of parity, body mass index, and menopausal age were 4, 24.5 kg/m2, and 22 years, respectively. The reasons for choosing a pessary included mostly risks and reluctance to undergo surgery. The complications from using a pessary were vaginal erosion, which was found in one case. Thirty-seven patients (92.5%) were satisfied and continued to use pessaries. Conclusion: Most POP patients had a favorable outcome in terms of satisfaction with the pessary use and continued to use pessaries.
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    Effect of Colpexin Sphere on pelvic floor muscle strength and quality of life in women with pelvic organ prolapse stage I/II: A randomized controlled trial
    (2012-01-01) Jittima Manonai; Thitima Harnsomboon; Sirirat Sarit-apirak; Rujira Wattanayingcharoenchai; Apichart Chittacharoen; Somsak Suthutvoravut; Mahidol University
    Introduction and hypothesis: Colpexin Sphere was effective for advanced pelvic organ prolapse. The aim of this study was to assess the effect of Colpexin Sphere in women with pelvic organ prolapse (POP) stage I or II on pelvic floor muscle strength, quality of life, and POP stage. Methods: Women were randomly divided into Colpexin Sphere with pelvic floor muscle exercise group and exercise only group for a 16-week period. They had Colpexin pull test and digital test every 4 weeks. Quality of life and POP stage were re-evaluated at the end of treatment. Results: Ninety-one women were recruited and 85 completed. Colpexin Sphere plus pelvic floor exercise improved pelvic floor muscle strength. There was no significant difference between both groups. Vaginal symptom score decreased in both groups while the stages of prolapse did not change. Conclusions: Colpexin Sphere plus pelvic floor exercise and exercise alone improved pelvic floor muscle strength. © The International Urogynecological Association 2011.
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    Impact of a vaginal pessary on the quality of life in women with pelvic organ prolapse
    (2016-06-01) Tisana Anantawat; Jittma Manonai; Rujira Wattanayingcharoenchai; Sirirat Sarit-apirak; Mahidol University
    Background: Vaginal pessaries have been used as an option for conservative treatment of pelvic organ prolapse. Objectives: To determine if vaginal pessaries improve vaginal symptoms, quality of life, and satisfaction in women with pelvic organ prolapse after 3 to 6 months of pessary use. Methods: This was a prospective observational study in a cohort of women presenting for a vaginal pessary fitting for pelvic organ prolapse. The women were asked to complete an International Consultation on Incontinence Modular Questionnaire-Vaginal Symptoms and evaluate their satisfaction using visual analog satisfaction scale before being fitted for the vaginal pessary, and after 3 and 6 months of treatment. Results: Of the 40 women eligible to be included in this study, all vaginal symptoms and overall quality of life scores significantly improved after 3 and 6 months of treatment (P < 0.001). Moreover, the satisfaction scale increased significantly (P < 0.001). Conclusions: The use of a vaginal pessary for up to 6 months improved vaginal symptoms, quality of life and satisfaction in women with pelvic organ prolapse.
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    Proficiency and Health-Related Behaviors Regarding Pelvic Organ Prolapse and Urinary Incontinence among Female Personnel in a Private Hospital
    (2017) Supaporn Chaisri; Sirirat Sarit-apirak; Umaporn Udomsubpayakul; Jittima Manonai; สุภาพร ไชยศรี; ศิริรัตน์ สฤษดิ์อภิรักษ์; อุมาพร อุดมทรัพยากุล; จิตติมา มโนนัย; Vejthani Hospital. Nursing Department; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Research Center; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Obstetrics & Gynaecology
    Background: Pelvic organ prolapse (POP) and urinary incontinence (UI) are common problems among women. Healthcare provider’s competence, knowledge and practice skills are associated with quality of care. Objective: To evaluate the proficiency and health-related behaviors regarding pelvic organ prolapse and urinary incontinence among female hospital personnel, and the association between the proficiency and their practice. Methods: A cross-sectional survey was conducted in a private hospital from January to June 2016. A Prolapse and Incontinence Knowledge Questionnaire (PIKQ) was used to evaluate the proficiency regarding POP and UI, while a newly developed, 3-item questionnaire was used to evaluate health-related behaviors. Proficiency was defined as scores of 50% or greater on the POP scale and 80% or greater on the UI scale. Pearson’s correlation was used to determine the correlation between the proficiency and three health-related behaviors. Results: Two hundred and eight female personnel participated in this survey. Response rate was 52.2%, 70.2% of participants were proficient in POP knowledge, whereas only 24.5% were proficient in UI knowledge. The only factor associated with POP and UI proficiency was healthcare related experience (P < 0.05). There was an association between POP and UI proficiency and all 3 items of health-related behaviors (P < 0.05) except UI proficiency and pelvic floor muscle exercise. Conclusions: The rate of POP proficiency was moderately, while the proficiency rate of the UI scale was quite low among medical and non-medical personnel working at a private hospital. POP and UI proficiency impacted on health-related behaviors.
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    Sexual Function in Women With Pelvic Organ Prolapsed and Urinary Incontinence
    (2014) Rujira Wattanayingcharoenchai; Jittima Manonai; Sirirat Sarit-apirak; Komkrit Aimjirakul; Apichart Chittacharoen; รุจิรา วัฒนายิ่งเจริญชัย; จิตติมา มโนนัย; ศิริรัตน์ สฤษดิ์อภิรักษ์; คมกฤช เอี่ยมจิรกุล; อภิชาติ จิตต์เจริญ; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Obstetrics and Gynecology; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Nursing
    Objective: To describe the sexual function of women with pelvic organ prolapse and urinary incontinence and to investigate the association between the presence of pelvic floor symptoms and degree of bother related to their problems and sexual function using a condition-specific function questionnaire. Methods: Women with pelvic organ prolapse/urinary incontinence, attending the Urogynaecology Clinic, Ramathibodi Hospital were recruited in the study. Information about the presence and degree of bother related to pelvic floor symptoms over the previous 1 month and sexual function were assessed; using the Thai version Pelvic Floor Bother Questionnaire (PFEQ) and the Thai version Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), respectively. Results: The subjects were 289 women aged 60.9 ± 11.4 years. One hundred and eight (65%) were sexually active. There was no difference in sexual activity in women with different pelvic floor symptoms. Compared to sexually inactive group, sexually active women had significantly higher PFBQ score. Regarding to pelvic floor problems, there was no statistically significant difference in PISQ-12 scores in women with different pelvic floor symptoms. The degree of bother related to pelvic floor problems was significantly correlated with impairment of sexual function. Conclusions: Pelvic organ prolapse and urinary incontinence have an impact on sexual function. Women with more bother related to pelvic floor problems have more sexual impairment.
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    PublicationOpen Access
    Validation of the Thai Version of ICIQ-VS (International Consultation on Incontinence Questionnaire -Vaginal symptoms) in Thai Women
    (2016) Wilailak Sriwat; Jittima Manonai; Chatchawan Sillaphakit; Sirirat Sarit-apirak; Apichart Chittacharoen; วิไลลักษณ์ ศรีวัตร; จิตติมา มโนนัย; ชัชวาล ศิลปกิจ; ศิริรัตน์ สฤษดิ์อภิรักษ์; อภิชาติ จิตต์เจริญ; Thasala Hospital; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Obstetrics and Gynecology; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Psychiatry; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Nursing
    Objective: To determine the psychometric properties of the Thai version of international Consultation on Incontinence Questionaire-Vaginal Symptoms (ICIQ-VS). Methods: This was a cross-sectional, observation study. Women who attended the urogynecology clinic, whether or not they complaining of vaginal symptoms were enrolled. Participants completed the Thai version of ICIQ-VS before being examined by the gynecologists according to the Pelvic Organ Prolapse Quantification system. About 2 weeks later, the participants who had no treatment returned to the clinic for completion of the retest questionnaire. Results: Eighty-six women with a mean age of 54.4 years were recruited. The final Thai version of ICIQ-VS questionnaire was developed. It demonstrated good psychometric properties (validity and reliability). With regard to the construct validity, there were statistically significant difference between the symptomatic group (ICIQ-VS 5a > 0) and the asymptomatic group (ICIQ-VS 5a = 0) assessed by vaginal symptom score (VSS) (P < 0.001), sexual matter score (SMS) (P < 0.001) and quality of life (QoLS) (P < 0.001). The test-retest reliability was considered moderate to excellent for all questions. Conclusion: The Thai version of ICIQ-VS was successfully validated and could assess the severity of pelvic organ prolapse according to the questionnaire score.
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    Validation of the Thai version of the Prolapse and Incontinence Knowledge Questionnaire (PIKQ)
    (2021-01-01) Wanchat Komon; Jittima Manonai; Athasit Kijmanawat; Chatchawan Silpakit; Bhatarachit Tunkoon; Ketkaew Jengprasert; Sirirat Sarit-apirak; Faculty of Medicine Ramathibodi Hospital, Mahidol University
    Introduction and hypothesis: The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) was developed and validated to assess women’s knowledge regarding etiology, diagnosis and treatment of pelvic organ prolapse (POP) and urinary incontinence (UI). We aimed to translate and validate a Thai version of the PIKQ to use as a tool to evaluate knowledge of POP and UI among Thai-speaking women. Methods: The English PIKQ, which comprises the PIKQ-POP and PIKQ-UI sections, was translated into Thai. Psychometric properties of the final version of the Thai PIKQ were tested for content validity, construct validity, internal consistency and test-retest reliability among 168 women attending a gynecology clinic and 150 nurses. Results: Regarding content validity of the final Thai PIKQ, the number of missing items was 0. Participants in the nurse group were more likely than those in the patient group to select the correct answer for all items for the POP scale and UI scale (P < 0.001). For internal consistency testing, Cronbach’s alpha coefficient was 0.745 for the PIKQ-POP and 0.754 for the PIKQ-UI scales, suggesting that the items had relatively high internal consistency. The item-total correlation values ranged from 0.204 to 0.539, showing an adequate correlation of each item with the scale overall. The correlation coefficients between the test and retest for PIKQ-POP and PIKQ-UI were 0.685 and 0.735, respectively (P < 0.001). Conclusions: The Thai PIKQ is a simple instrument which shows good validity and high reliability and could be a useful tool for assessing knowledge regarding POP and UI in clinical practice.