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All Journal Majalah Kedokteran Bandung Althea Medical Journal Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Andalas obstetrics and gynecology journal
Eppy Darmadi Achmad
Departemen Obstetri & Ginekologi Universitas Padjadjaran RSUP Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Analisis Pergerakan Leher Kandung Kemih, Ukuran Genital Hiatus, Titik Aa dan Ba pada POP-Q dengan Retensio Urin pada Pasien Pasca-Perbaikan Prolaps Organ Panggul Ma'soem, Aria Prasetya; Sasotya, R.M Sonny; Achmad, Eppy Darmadi; Armawan, Edwin; Sukarsa, Rizkar Arev; Rinaldi, Andi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.607

Abstract

Pendahuluan:Retensio urin pasca-operasi merupakan kejadian yang sering terjadi setelah operasi perbaikan prolaps organ panggul (POP), dengan angka kejadian berkisar antara 2,5 – 24%. Parameter yang digunakan untuk mengevaluasi pergerakan kandung kemih dan gangguan berkemih yaitu penurunan leher kandung kemih, sudut retrovesika, dan rotasi uretra. Tujuan untuk mengetahui hubungan antara profil leher kandung kemih, ukuran genital hiatus, dan titik Aa dan Ba pada POP-Q terhadap retensio urin pasca-perbaikan prolaps organ panggul.Metode: Penelitian observasional analitik ini menggunakan pendekatan rancangan potong lintang pada wanita yang menjalani operasi POP di RSUP Dr. Hasan Sadikin Bandung pada bulan Juni–November 2023.Hasil: Penurunan leher kandung kemih, sudut retrovesika, rotasi uretra, dan ukuran genital hiatus diukur dengan ultrasonografi. Titik Aa dan Ba diukur dengan skoring POP-Q, kemudian dilakukan pengukuran post-void residual volume. Ditemukan rata-rata usia pasien adalah 60±9 tahun. Sebagian besar subjek penelitian merupakan POP stadium III.Kesimpulan:Tidak terdapat perbedaan bermakna antara karakteristik subjek penelitian (p>0,05). Tidak terdapat perbedaan bermakna antara parameter leher kandung kemih, sudut retrovesika, rotasional uretra, ukuran urogenital hiatus, skor POP-Q titik Aa dan Ba terhadap volume PVR (p>0,05). Titik Ba pada POP-Q berkorelasi signifikan terhadap volume PVR pasca-perbaikan prolaps organ panggul.Analysis of Bladder Neck Movement Profile, Genital Hiatus Size, Points Aa and Ba on POP-Q with Urinary Retention in Post Pelvic Organ Prolapse Repair PatientsAbstract Introduction: Postoperative urinary retention is a common following surgical repair of pelvic organ prolapse (POP), with the incidence ranges between 2.5–24%. This study aimed to determine the relationship between bladder neck profile, genital hiatus, and Aa and Ba points in POP-Q on the incidence of urinary retention after repair of pelvic organ prolapse. Method: This analytical observational study was done with a cross-section design and included women underwent repair of pelvic organ prolapse at RSUP Dr. Hasan Sadikin Bandung in June–November 2023. Results: Bladder neck descent, retrovesical angle, urethral rotation, and genital hiatus were measured by ultrasonography. Points Aa and Ba were measured using POP-Q scoring, then post-void residual volume was measured. The patients had a mean age of 60±9 years. Most of the subjects were stage III POP. Conclusion: There were no significant differences between bladder neck descent, retrovesical angle, urethral rotation, urogenital hiatus, POP-Q scores points Aa and Ba and PVR volume (p>0.05). Point Ba on POP-Q was significantly correlated with PVR volume after pelvic organ prolapse repair.Key words: pelvic organ prolapse, post-void residual volume, urinary retention, rectovesical angle, urogenital hiatus
Neutrophil- Lymphocyte Ratio (NLR) and Platelet- Lymphocyte Ratio (PLR) as Inflammatory Markers in Preterm Birth Izzah, Muthiah Nurul; Sumawan, Herman; Achmad, Eppy Darmadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 2 Juli 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i2.671

Abstract

Introduction: Preterm births make up roughly 16–18% of all live births in Indonesia. One of the factors that contribute to preterm birth is inflammation. The study aimed to assess the role of platelet/lymphocyte ratio (PLR) and neutrophil/lymphocyte ratio (NLR) as inflammatory markers in preterm birth. Method: This is a cross-sectional retrospective Study. Data were collected from medical records at Margono Soekarjo Hospital, January 2022-February 2023. The cohort comprised 150 participants with singleton pregnancies, ranging from 28 to less than 37 weeks of gestation, divided into three groups: preterm birth without preterm premature rupture of membranes (PPROM), preterm birth with PPROM, and threatened preterm labor (TPL). Multivariate ANOVA tests were employed for data analysis. Result: There was a statistically significant difference NLR values , notably in preterm births without PPROM compared to other groups (p value < 0.005), whereas the only difference noted in PLR values was noted between preterm births with and without PPROM. Our finding differs from that of previous studies, which indicated higher NLR values in preterm births with PPROM.Conclusion: NLR and PLR have the potential to be used as inflammatory markers indicative of heightened risk of preterm birth.Rasio Neutrofil-Limfosit (RNL) dan Rasio Platelet-Limfosit (RPL) sebagai Penanda Inflamasi pada Persalinan PrematurAbstrakPendahuluan: Angka kejadian persalinan prematur di Indonesia mencakup 16-18% dari semua kelahiran hidup. Inflamasi atau infeksi dianggap sebagai salah satu penyebab persalinan prematur. Penelitian ini bertujuan untuk menilai peran rasio trombosit/limfosit (PLR) dan rasio neutrofil/limfosit (NLR) sebagai penanda inflamasi pada kelahiran premature.Metode: Penelitian merupakan studi retrospektif cross-sectional. Data dikumpulkan dari rekam medis RSUD Margono Soekarjo periode Januari 2022 - Februari 2023. Didapatkan 150 pasien hamil tunggal dengan rentang usia kehamilan 28 hingga kurang dari 37 minggu yang terbagi dalam tiga kelompok: kelahiran prematur tanpa ketuban pecah dini (KPD), kelahiran prematur dengan KPD, dan ancaman persalinan prematur. Tes ANOVA multivariat digunakan untuk analisis data.Hasil: Terdapat perbedaan nilai NLR yang signifikan secara statistik, terutama pada kelahiran prematur tanpa KPD dibandingkan dengan kelompok lain (nilai p <0,005), sedangkan perbedaan nilai PLR hanya terdapat pada kelahiran prematur dengan dan tanpa KPD. Temuan kami berbeda dengan penelitian sebelumnya yang menunjukkan nilai NLR lebih tinggi pada kelahiran prematur dengan KPD.Kesimpulan: NLR dan PLR berpotensi digunakan sebagai penanda inflamasi yang mengindikasikan peningkatan risiko kelahiran prematur.Kata kunci: NLR, PLR, persalinan prematur
Kejadian Ballooning dan Avulsi Otot Levator Ani Pada Persalinan Spontan Primipara Non OASIS di Fasilitas Kesehatan Tingkat Pertama Rahman, Muhammad Nurhadi; Sukarsa, Mochamad Rizkar Arev; Rinaldi, Andi Rinaldi; Achmad, Eppy Darmadi; Sasotya, Raden Mas Sonny; Armawan3, Edwin
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.639

Abstract

Pendahuluan: Kerusakan otot levator ani, seperti Ballooning dan Avulsi, sering terjadi pada Obstetric Anal Sphincter Injuries (OASIS) saat persalinan, yang menyebabkan masalah jangka panjang seperti inkontinensia dan prolaps uteri. Namun, hubungan antara kerusakan ini dengan robekan perineum derajat ringan atau Non-OASIS masih kurang dipahami. Penelitian ini bertujuan untuk mengeksplorasi prevalensi Ballooning dan Avulsi pada persalinan spontan primipara Non-OASIS tanpa episiotomi di fasilitas kesehatan tingkat pertamaMetode: Studi cross-sectional dilakukan di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta dan praktik mandiri bidan di Sleman, Yogyakarta, melibatkan 69 pasien. Penggunaan USG 3D melalui pendekatan translabial digunakan untuk mengidentifikasi Ballooning dan Avulsi.Hasil: Dari 69 pasien yang mengalami persalinan spontan primipara Non-OASIS tanpa episiotomi yang terlibat dalam penelitian ini, 66,67% pasien mengalami robekan perineum derajat ringan, sementara 33,3% memiliki perineum intak. Prevalensi Ballooning adalah 26,1% dan Avulsi adalah 17,4%. Ballooning lebih umum terjadi pada pasien dengan robekan perineum derajat ringan (32,6%) daripada yang memiliki perineum intak (13,0%). Avulsi juga lebih sering terjadi pada pasien dengan robekan perineum derajat ringan (21,7%) dibandingkan dengan yang memiliki perineum intak (8,7%).Kesimpulan: Avulsi terjadi pada satu dari empat persalinan spontan primipara Non-OASIS tanpa episiotomi, sementara Ballooning terjadi pada satu dari enam persalinan. Studi ini memberikan wawasan tentang karakteristik kerusakan otot levator ani dalam setting praktik kebidanan mandiri yang berjejaring dengan fasilitas kesehatan tingkat pertama.The occurance of Ballooning and Avulsion of The Levator Ani Muscles in First Spontaneous Vaginal Birth Non-OASIS without Episiotomy at Primary Health FacilitiesAbstract Introduction: Damage to the levator ani muscles, such as Ballooning and Avulsion, often occurs during Obstetric Anal Sphincter Injuries (OASIS) during childbirth, leading to long-term issues like incontinence and uterine prolapse. However, the relationship between this damage and mild perineal tears or Non-OASIS is not fully understood. This study aims to explore the prevalence of Ballooning and Avulsion in spontaneous primiparous deliveries without episiotomy in primary healthcare facilities.Method: A cross-sectional study was conducted at Dr. Sardjito General Hospital in Yogyakarta and midwifery practices in Sleman, Yogyakarta, involving 69 patients. 3D ultrasound via translabial approach was used to identify Ballooning and Avulsion.Results: Out of 69 patients undergoing spontaneous primiparous deliveries without episiotomy, 66.67% experienced mild perineal tears, while 33.3% had intact perineum. The prevalence of Ballooning was 26.1% and Avulsion was 17.4%. Ballooning was more common in patients with mild perineal tears (32.6%) compared to those with intact perineum (13.0%). Avulsion also occurred more frequently in patients with mild perineal tears (21.7%) compared to those with intact perineum (8.7%).Conclusion: Avulsion occurs in one out of four spontaneous primiparous deliveries without episiotomy, while Ballooning occurs in one out of six deliveries. This study provides insights into the characteristics of levator ani muscle damage in the setting of primary healthcare facilities connected to independent midwifery practices.Key words: levator ani muscle avulsion, levator ani muscle ballooning, primipara, mild perineal tear.
Diagnostic Approach to Vaginismus and How to Differentiate it from Dyspareunia Farhanah, Aninda Yasmin; Sukarsa, Mochamad Rizkar Arev; Armawan, Edwin; Achmad, Eppy Darmadi; Sasotya, R. M Sonny; Rinaldi, Andi; Ma’soem, Aria Prasetya; Praharsini, Raden Kania; Imantika, Efriyan; Nurtanio, Setiawan; Arwan, Berriandi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.689

Abstract

Introduction:Vaginismus is a recurrent or persistent spasm of the muscles of the outer third of the vagina that interferes with coitus. The diagnosis of vaginismus is challenging since it requires the exclusion of possible organic comorbidities. Vaginismus needs to be differentiated from dyspareunia. This article comprehensively discusses the approach to diagnosis and management of vaginismus and highlights its differences from dyspareunia.Methods: A literature search was conducted in PubMed®, ScienceDirect, and Google Scholar databases on February 7–8, 2024, using Boolean combinations of the specified keywords. No specific timeframe was used. Editorials, commentaries, and articles other than written in English and Indonesian were excluded.Results: The review found that vaginismus is characterized by involuntary pelvic floor muscle contractions and significant anxiety towards penetration, which is diagnosed mainly through patient history and physical examination. In contrast, dyspareunia encompasses a wider range of pain, which may be superficial or deep and can result from various physiological or psychological factors. Differentiating between the two conditions requires a detailed clinical interview, physical examination, and possibly additional tests to identify the specific cause.Conclusion: Treatment for vaginismus focuses on reducing fear and pelvic muscle spasms, while dyspareunia focuses on addressing the underlying cause and pain management.Pendekatan Diagnosis pada Vaginismus dan Cara Membedakannya dengan DispareuniaAbstrakPendahuluan: Vaginismus adalah spasme otot-otot sepertiga bagian luar vagina yang berulang atau terus-menerus dan mengganggu koitus. Diagnosis vaginismus menantang dan memerlukan eksklusi kemungkinan komorbiditas organik. Vaginismus perlu dibedakan dengan dispareunia. Artikel ini membahas pendekatan diagnosis dan penatalaksanaan vaginismus secara komprehensif dan menyoroti perbedaannya dengan dispareunia.Metode: Pencarian literatur dilakukan di basis data PubMed®, ScienceDirect, dan Google Scholar pada tanggal 7 – 8 Februari 2024 dengan menggunakan kombinasi Boolean dari kata kunci yang ditentukan. Tidak ada jangka waktu tertentu yang digunakan dalam pencarian artikel untuk tinjauan literatur ini. Editorial, komentar, dan artikel yang tidak berbahasa Inggris dan Indonesia tidak disertakan.Hasil: Tinjauan menunjukkan bahwa vaginismus ditandai oleh kontraksi involunter otot dasar panggul serta kecemasan signifikan terhadap penetrasi. Diagnosis utama didasarkan pada riwayat pasien dan pemeriksaan fisik. Sebaliknya, dispareunia mencakup spektrum nyeri, baik superfisial maupun dalam, yang dapat dipicu oleh berbagai faktor fisiologis atau psikologis. Untuk membedakan kedua kondisi tersebut, diperlukan wawancara klinis yang mendetail, pemeriksaan fisik, dan tes tambahan guna mengidentifikasi penyebab spesifik.Kesimpulan: Terapi untuk vaginismus berfokus pada pengurangan rasa takut dan spasme otot panggul, sedangkan dispareunia berfokus pada penanganan penyebab yang mendasari dan manajemen nyeri.Kata kunci: Diagnosis, dyspareunia, tatalaksana, vaginismus
Pelvic Floor Distress Inventory – 20 As Quality of Life Score Predictor in Patient Using Pessary Arwan, Berriandi; Andi Rinaldi; R.M. Sonny Sasotya; M. Rizkar Arev Sukarsa; Eppy Darmadi Achmad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.190-196.2025

Abstract

Introduction: Pelvic organ prolapse is one of women’s health major concern associated with decreased quality of life that may cause a disruption in the bladder, gastrointestinal and sexual dysfunction. Women’s Health Initiative (WHI) stated 41% of women aged 50-79 years pelvic organ prolapse symptoms and surgeries performed rate increased from 1.5 to 4.9 cases per 1,000 women per year. Objective: To determine changes in quality of life based on Indonesian version of Pelvic Floor Distress Inventory – 20 questionnaire in patients with pelvic organ prolapse. Methods: Prospective cohort study carried out in Hasan Sadikin Hospital, Bandung City, Indonesia during the period Januari 2022 – March 2023. The quality of life was followed up three months after hospital discharge. We used the Indonesian version of Pelvic Floor Distress Inventory – 20 (PFDI-20). Results: In this study, 20 subjects were involved. The result showed that significant reduction in the quality of life score in patients after the treatment of pelvic organ prolapse with conservative treatment such as pessary insertion based on scale Indonesia version of PFDI – 20 questionnaire, with the highest a preoperative PFDI-20 score of 275 and after therapy score reduction until 50. Conclusions: There is a reduction in quality of life scores in patients with pelvic organ prolapse underwent surgery. Further research should be conducted in large number to assess the quality of life of patients with pelvic floor dysfunction in Indonesia using these questionnaire.
Female Sexual Function Index As Sexual Disfunction Predictor On Women Using A Pessary Setyawan Nurtanio; Andi Rinaldi; R.M. Sonny Sasotya; M. Rizkar Arev Sukarsa; Eppy Darmadi Achmad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.197-204.2025

Abstract

Introduction: Pelvic organ prolapse (POP) is the abnormal descent of pelvic organs that can cause various symptoms, including sexual dysfunction, especially in menopausal women. With increasing life expectancy, the prevalence of POP-related female sexual dysfunction is also rising. Sexual discomfort can result from vaginal wall thinning, stiffness, fatigue, and inability to achieve orgasm, affecting overall well-being and quality of life. Objective: This study aimed to evaluate the improvement in female sexual function using the Indonesian version of the Female Sexual Function Index (FSFI) one week after pessary insertion in both sexually active (SA) and non-sexually active (NSA) women with POP. Methods: A descriptive before-and-after study was conducted on 20 women aged 50–65 years with POP grades II–IV at Al-Ihsan Hospital, Bandung, between November 2023 and January 2024. All subjects received ring pessary treatment. The FSFI questionnaire was administered before and one week after pessary insertion to assess sexual function. Results: Among 20 participants (mean age: 57 years), 16 (80%) reported sexual dysfunction before pessary insertion. After one week, 14 women (70%) were categorized as not having sexual dysfunction, while 6 (30%) remained in the dysfunction group. Of the 16 women initially affected, 11 (68%) experienced improved sexual function. The ring pessary proved effective without negatively affecting sexual activity. Conclusions: Pessary use in women with POP can improve sexual function without adverse effects on sexual intercourse. However, limitations include the small sample size, short follow-up, and use of only one pessary type. Additionally, multiple unmeasured factors, such as biological, cultural, and social factors, can influence outcomes.
Pregnancy Outcomes in Women Aged 20–34 vs. ?35 Years: A Cross-Sectional Study in a Tertiary Referral Center Syahputra, Farsyah Septrial Hendra; Pribadi, Adhi; Hidayat, Dini; Achmad, Eppy Darmadi; Kurniadi, Andi
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2460

Abstract

Objective: This study aims to compare pregnancy outcomes between mothers under and over 35 years of age at Dr. Hasan Sadikin General Hospital. Methods: An observational analytic approach with a cross-sectional design was used. Data from the medical records of 150 patients at Dr. Hasan Sadikin General Hospital in 2022 were analyzed. Patients were divided into two groups: ages 20-34 and greater than or equal to 35. Data analysis was performed using SPSS version 27.0. Results: Advanced maternal age was significantly associated with mode of delivery [OR 2.16, 95% CI (1.08-4.28), p=0.048], hypertensive disorders of pregnancy [OR 3.99, 95% CI (1.86-8.38), p<0.001], and postpartum hemorrhage [OR 2.93, 95% CI (0.99-8.79), p=0.044]. Conclusion: This study affirmed that advanced maternal age is associated with adverse maternal outcomes, namely hypertensive disorders of pregnancy and postpartum hemorrhage. Moreover, compared to mothers aged 20-34, advanced maternal age is linked with higher rates of cesarean deliveries and forceps deliveries.   Keywords: Advanced maternal age pregnancy, Adverse maternal outcomes, Neonatal outcomes, Peak reproductive years, Complications of pregnancy
Comparison of Quality of Life and Sexual Function between Pelvic Organ Prolapse Patients Using Pessary and Surgical Intervention Nurtanio, Setyawan; Sasotya, RM Sonny; Sukarsa, M. Rizkar Aref; Achmad, Eppy Darmadi; Rinaldi, Andi; Ma'soem, Aria Prasetya; Praharsini, Kania
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 1 March 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i1.1035

Abstract

Objective: This study aims to compare the improvement in QoL (measured by PFDI-20) and sexual function (measured by FSFI) in POP patients (stage II-IV) treated with either surgical intervention or pessary insertion.Methods: The study employed a quasi-experimental pre–posttest design involving 60 patients with stage II–IV pelvic organ prolapse (POP), consisting of 30 patients in the surgical group and 30 patients in the pessary group, conducted at two tertiary referral hospitals in Bandung. Quality of life and sexual function were assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Female Sexual Function Index (FSFI) before and three months after the intervention. Statistical analyses included paired t-tests to evaluate within-group changes before and after the intervention and independent t-tests to compare post-intervention outcomes between the two groups.Results: The results demonstrated that both the surgical group and the pessary group showed significant improvements in quality of life and sexual function (p<0.001). In the surgical group, the FSFI score increased from 16.46 ± 6.88 to 27.68 ± 3.17, surpassing the threshold for normal sexual function, while the PFDI-20 score decreased from 114.34 ± 57.44 to 14.93 ± 7.37. The pessary group also showed significant improvement, with the FSFI score increasing from 18.69 ± 4.76 to 24.80 ± 3.83 and the PFDI-20 score decreasing from 130.24 ± 48.80 to 36.98 ± 21.37. Post-intervention comparative analysis showed statistically better outcomes in the surgical group for both the FSFI score (p=0.002) and the PFDI-20 score (p<0.001).Conclusion: Both surgical and pessary interventions are effective in improving the quality of life and sexual function in women with pelvic organ prolapse. Surgical intervention, however, offers superior and lasting outcomes. Pessary usage remains an important non-surgical option for patients seeking conservative management. AbstrakTujuan: Penelitian ini bertujuan membandingkan perubahan kualitas hidup dan fungsi seksual pada pasien POP stadium II–IV yang menjalani terapi bedah dan penggunaan pessarium.Metode: Metode penelitian yang digunakan yaitu kuasi-eksperimental dengan desain pre–posttest yang dilakukan pada 60 pasien POP stadium II–IV, terdiri atas 30 pasien kelompok bedah dan 30 pasien kelompok pessarium, di dua rumah sakit rujukan tersier di Bandung. Penilaian kualitas hidup dan fungsi seksual dilakukan menggunakan kuesioner Pelvic Floor Distress Inventory-20 (PFDI-20) dan Female Sexual Function Index (FSFI) sebelum dan tiga bulan setelah intervensi. Analisis statistik menggunakan uji t berpasangan untuk menilai perubahan sebelum dan sesudah intervensi pada tiap-tiap kelompok serta uji t tidak berpasangan untuk membandingkan luaran pascaintervensi antar kelompok.Hasil: Hasil penelitian menunjukkan bahwa kelompok dengan terapi bedah dan kelompok dengan pessarium menunjukkan peningkatan bermakna pada kualitas hidup dan fungsi seksual (p<0,001). Pada kelompok bedah, skor FSFI meningkat dari 16,46 ± 6,88 menjadi 27,68 ± 3,17, melewati ambang fungsi seksual normal, sedangkan skor PFDI-20 menurun dari 114,34 ± 57,44 menjadi 14,93 ± 7,37. Kelompok pessarium juga menunjukkan perbaikan yang bermakna, dengan peningkatan skor FSFI dari 18,69 ± 4,76 menjadi 24,80 ± 3,83 dan penurunan skor PFDI-20 dari 130,24 ± 48,80 menjadi 36,98 ± 21,37. Analisis perbandingan pascaintervensi menunjukkan hasil yang secara statistik lebih baik pada kelompok bedah baik untuk skor FSFI (p=0,002) maupun PFDI-20 (p<0,001).Kesimpulan:Terapi bedah dan penggunaan pessarium secara bermakna meningkatkan kualitas hidup dan fungsi seksual pada pasien prolaps organ panggul. Terapi bedah memberikan perbaikan yang lebih besar dan lebih menyeluruh, sedangkan penggunaan pessarium tetap merupakan pilihan nonbedah yang efektif dan aman pada pasien terpilih. 
Co-Authors Adhi Pribadi Andi Kurniadi, Andi Andi Rinaldi Armawan3, Edwin Arnova Reswari Arwan, Berriandi Benny Hasan Purwara Dian Tjahyadi Edwin Armawan Efriyan Imantika Fani Fitrya Nafisah Fani Fitrya Nafisah, Fani Fitrya Farhanah, Aninda Yasmin Gufi George Stefanus Gufi George Stefanus, Gufi George Henni Djuhaeni Henni Djuhaeni Hidayat, Dini Insi Farisa Arya Insi Farisa Arya, Insi Farisa Izzah, Muthiah Nurul M. Rizkar Arev Sukarsa M. Rizkar Arev Sukarsa Ma'soem, Aria Prasetya Ma’soem, Aria Prasetya Muhammad Nurhadi Rahman Nurtanio, Setiawan Nurtanio, Setyawan Praharsini, Kania Praharsini, Raden Kania R. M. Sonny Sasotya R.M. Sonny Sasotya Rika Yuntiani Rinaldi, Andi Rinaldi Sandi Deviano Sasotya, R. M Sonny Sasotya, R.M Sonny Sasotya, Raden Mas Sonny Sasotya, RM Sonny Setyawan Nurtanio Siti Nur Fatimah Siti Nur Fatimah Sukarsa, M. Rizkar Aref Sumawan, Herman Syahputra, Farsyah Septrial Hendra Tono Djuwantono Willy Akbar Windy Puspa Kusumah Yuntiani, Rika