A survey of pessary use by members of the american urogynecologic society

Cundiff, Geoffrey W.; Weidner, Alison C.; Visco, Anthony G.; Bump, Richard C.; Addison, W A

doi:10.1016/s0029-7844(00)00788-2

Cited by 145 publications

(119 citation statements)

References 16 publications

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“…Three other studies have evaluated pessary fitting; these previous studies reported successful fitting rates ranging from 56 to 64 % [9][10][11], which are slightly lower than our rate of 67 %. Fitting success may depend upon preconceived patient ideas, and both beliefs and attitudes regarding the etiology and success of pessary treatment might influence treatment choice [3,[12][13][14]. All treatment options should be discussed, and patients should actively participate in the treatment decision-making process.…”

Section: Reasons For the High Success Ratementioning

confidence: 99%

“…Pessary use is an excellent conservative treatment option for some patients with POP. A survey conducted by the American Urogynecologic Society reported that nearly two thirds of physicians would choose the vaginal pessary over surgery as the first-line treatment for this condition [3]. Pessaries can be categorized into the following two types: support and space-occupying.…”

Section: Introductionmentioning

confidence: 99%

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Successful use of ring pessary with support for advanced pelvic organ prolapse

et al. 2015

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Section: Reasons For the High Success Ratementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful use of ring pessary with support for advanced pelvic organ prolapse

et al. 2015

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“…[5][6][7][8] The use of pessaries is common; more than 85% of gynecologists 9 and nearly 98% of urogynecologists prescribe them. 10 They provide anatomic support and can be used as a treatment of choice or in those who decline surgery (e.g., women who plan future childbearing, require temporary relief of prolapse while waiting for surgery or during pregnancy, or do not want surgical repair 11,12 ). Pessaries have few complications, although some authors suggest that they require lifestyle modification, 13,14 and the variety of shapes and sizes available affords choice and individual fitting.…”

Section: Introductionmentioning

confidence: 99%

An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse

Abdulaziz

Stothers

Lazare³

et al. 2015

CUAJ

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Introduction: Pessary use is the preferred non-surgical treatment option for female pelvic organ prolapse. As pessaries can be used chronically to alter pelvic floor anatomy, consideration of shortand long-term complications is important in patient management. We systematically reviewed articles describing the complications of pessary use to determine frequency and severity. Methods: A systematic search via MEDLINE and PubMed using the key terms "complications," "pessary," "pelvic organ prolapse," "side effects" was conducted for the years 1952 to 2014 inclusively. Selected articles cited in the publications identified were also considered. Only full-text material published in English was reviewed. All pessary-related complications described were collated; overall frequency within case reports and case series were calculated and severity was graded using the Clavien-Dindo classification. Results: In total, 61 articles met the inclusion criteria. The most common complications reported were vaginal discharge/vaginitis, erosion, and bleeding. Complications were related to pessary shape and material, and duration in situ. Clavien-Dindo classification of complication severity found that all 5 grade levels were attributed to pessary use; serious grade 4 and 5 complications included cancer, adjacent organ fistula and death. Conclusion: There are few detailed reports of complications of pessary use relative to the estimated frequency of pessary use worldwide. Prospective studies documenting complications by shape, material, and size, and objectively classifying complication severity are required. As serious grade 4 and 5 complications of pessary use occur, further development of clinical follow-up guidelines for long-term pessary users is justified.

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“…Pessary use is an excellent conservative treatment option for some POP patients. A survey conducted by the American Urogynecologic Society has reported that nearly two-thirds of physicians would choose a vaginal pessary over surgery as the first-line treatment for this condition [3]. Modern silicone pessaries come in a variety of types and sizes.…”

Section: Introductionmentioning

confidence: 99%

Which factors should be considered in choosing pessary type and size for pelvic organ prolapse patients in a fitting trial?

et al. 2016

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Patients with a history of hysterectomy or with a larger vaginal introitus were more likely to achieve success with the Gellhorn pessary. The GH width and the vaginal introitus width influenced the size of both pessaries chosen. The TVL was predictive of the optimal size of the ring pessary with support but was not predictive of the optimal size of the Gellhorn pessary. Finally, the size of the Gellhorn pessary was associated with POP stage.

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A survey of pessary use by members of the american urogynecologic society

Cited by 145 publications

References 16 publications

Successful use of ring pessary with support for advanced pelvic organ prolapse

Successful use of ring pessary with support for advanced pelvic organ prolapse

An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse

Which factors should be considered in choosing pessary type and size for pelvic organ prolapse patients in a fitting trial?

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