Pessary Use and Management for Pelvic Organ Prolapse

Atnip, Shanna

doi:10.1016/j.ogc.2009.08.010

Cited by 46 publications

(42 citation statements)

References 48 publications

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“…Guidelines on how to fit a pessary, case reports describing rare complications without any literature review and experts’ letters were excluded. From the remaining 41 articles which were considered useful, 13 articles were a review [2, 5, 8–18], and 28 articles were original research articles [3, 4, 6, 7, 19–43]. Only 10 articles [6, 19–21, 25, 27, 32, 34, 35, 41] met the exact criteria of the reviewers’ aim to assess the health-related quality of life in women with pelvic organ prolapse.…”

Section: Search Strategy and Selection Criteriamentioning

confidence: 99%

“…Ideally, the physician can teach a patient how to remove and replace the pessary herself. This increases patients’ autonomy, allowing her to use it and clean it when needed [5, 18]. In such a setting, follow-up could be on an annual basis [18].…”

Section: Management and Follow-upmentioning

confidence: 99%

“…2) [3]. Pessaries are used in daily practice by more than 86% of gynaecologists and 98% of urogynaecologists [4, 5]. The ring with central support and the Gellhorn pessary are most frequently used and appear equally effective in relieving symptoms of genital prolapse and voiding dysfunction [6].…”

Section: Introductionmentioning

confidence: 99%

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Pessary treatment for pelvic organ prolapse and health-related quality of life: a review

2011

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Pessaries have been used to treat women with pelvic organ prolapse (POP) since the beginning of recorded history. This review aims to assess the effect of pessary treatment on the disease-specific, health-related quality of life in women with pelvic organ prolapse. After a Medline search using the Mesh term ‘pessary’ and critical appraisal, 41 articles were selected and used in this review. Pessaries are widely used to treat pelvic organ prolapse. It is minimally invasive and appears to be safe. Although there is evidence that the use of pessaries in the treatment of pelvic organ prolapse is effective in alleviating symptoms and that patient satisfaction is high, the follow-up in many published papers is short, and the use of validated urogynaecological questionnaires is limited. Comparison with surgical treatment of pelvic organ prolapse is rare and not assessed in a randomised controlled trial.

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Section: Search Strategy and Selection Criteriamentioning

confidence: 99%

Section: Management and Follow-upmentioning

confidence: 99%

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Pessary treatment for pelvic organ prolapse and health-related quality of life: a review

2011

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“…More than 86% of gynecologists and 98% of urogynecologists use pessaries in their daily practice . QOL questionnaires have provided important insights into long and short‐term outcomes in women who use pessaries to manage POP.…”

Section: Qol Questionnaires In Clinical Researchmentioning

confidence: 99%

Quality of Life Questionnaires for the Assessment of Pelvic Organ Prolapse: Use in Clinical Practice

Al‐Badr¹

2012

LUTS

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Over the past decade, the use of quality of life (QOL) questionnaires in the evaluation of pelvic organ prolapse (POP) has become a standard part of most clinical studies. Investigators have attempted to correlate QOL scores with objective findings and treatment efficacy and as outcome measures in comparing different treatment modalities. Many of the QOL questionnaires are available in short forms, making them easier to adapt to clinical settings. This article includes an overview of several validated QOL questionnaires and their application in studies whose results provide useful guidelines for health care professionals who diagnose and manage women with POP.

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“…16 Evidence for pessary selection and management is incomplete and is based on a trial and error approach, expert opinion and experience. 14,17 The pessary is placed in the vagina above the pelvic floor musculature. It presses against the vaginal walls and is retained within the vagina by the tissues of the vaginal outlet.…”

Section: Non-surgical Managementmentioning

confidence: 99%

Treatment of pelvic organ prolapse

Ijaiya

Raji

2012

UIJ

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Prolapse of the pelvic organs is a common condition encountered in gynecological practice that adversely affects the quality of life of affected women. It affects millions of women worldwide. The principles of treatment of pelvic organ prolapse include restoring anatomy and vaginal function, correcting associated urinary and or fecal incontinence, and preventing de novo prolapse and incontinence. There are various treatment options for pelvic organ prolapse. These vary from conservative treatments/mechanical interventions to surgery. The choice of treatment depends on severity of symptoms, patient's age, parity, and whether there is the need to conserve the uterus for reproductive function. In conclusion, thorough evaluation of symptoms and degree of prolapse is essential in order to provide the best possible treatment and ultimately improve quality of life.

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Pessary Use and Management for Pelvic Organ Prolapse

Cited by 46 publications

References 48 publications

Pessary treatment for pelvic organ prolapse and health-related quality of life: a review

Pessary treatment for pelvic organ prolapse and health-related quality of life: a review

Quality of Life Questionnaires for the Assessment of Pelvic Organ Prolapse: Use in Clinical Practice

Treatment of pelvic organ prolapse

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