Pessary use in advanced pelvic organ prolapse
Abstract
The objective of this study was to review our experience with pessary use for advanced pelvic organ prolapse. Charts of patients treated for Stage III and IV prolapse were reviewed. Comparisons were made between patients who tried or refused pessary use. A successful trial of pessary was defined by continued use; a failed trial was defined by a patient's discontinued use. Thirty-two patients tried a pessary; 45 refused. Patients who refused a pessary were younger, had lesser degree of prolapse, and more often had urinary incontinence. Most patients (62.5%) continued pessary use and avoided surgery. Unsuccessful trial of pessary resorting to surgery included four patients (33%) with unwillingness to maintain, three patients (25%) with inability to retain and two patients (17%) with vaginal erosion and/or discharge. Our findings suggest that pessary use is an acceptable first-line option for treatment of advanced pelvic organ prolapse.
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Pessaries are effective in the management of POP as an alternative to surgery.
“Conservative methods such as pessaries have also been shown to be effective in the management of POP as an alternative to surgery [4, 5].”
From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [4]
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- Authors
- Powers, K., Lazarou, G., Wang, A., LaCombe, J., Bensinger, G., Greston, W. M., & Mikhail, M. S.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- Powers, Kenneth
- Venue
- International Urogynecology Journal
- Published
- 2005-05-10
- Volume
- 17
- Issue
- 2
- Pages
- 160-164
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W2012231337
- Cited by
- 61
- References
- 13
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 4 · 2016: 4 · 2015: 6 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- pessary, pelvic organ prolapse, advanced pelvic organ prolapse, urinary incontinence, vaginal erosion, surgical avoidance, first-line therapy
- MeSH terms
- Aged, Aged, 80 and over, Female, Humans, Middle Aged, Patient Participation, Pessaries, Prolapse, Retrospective Studies, Uterine Prolapse, Visceral Prolapse
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