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Cited by 14Pelvic floor disorders treatmentsUterine Myomas and TreatmentsSexual function and dysfunction studies

Vaginal Pessary for Pelvic Organ Prolapse: A French Multidisciplinary Survey

Pizzoferrato, Anne-Cécile, Nyangoh-Timoh, Krystel, Martin-Lasnel, Mathilde, Fauvet, Raffaèle, de Tayrac, Renaud, Villot, Anne·2022·Journal of Women's Health
DOI 10.1089/jwh.2021.0229
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Abstract

Objective: Pessary fitting and follow-up for women with pelvic organ prolapse (POP) can be performed by different health care practitioners (HCPs). We aimed to investigate knowledge and current practices among the main HCPs involved in pessary use in France. Materials and Methods: We sent an electronic questionnaire about pessary use to the members of eight French learned societies between April and October 2020. Results: During the study period, 1017 HCPs responded to the questionnaire: 712 (70.0%) were doctors, 208 (20.4%) physiotherapists, 95 (9.3%) midwives, and 7 (0.6%) nurses. Of the respondents, 69.1% claimed to be comfortable with pessary fitting and follow-up, and 54.1% think that a pessary can be offered as a first-line treatment in the management of POP. However, 60.1% reported that the main indications for pessaries were “older women,” 71.3% for women with contraindications to surgery, and 60.5% for women waiting for surgery. 23.9% do not prescribe local estrogen therapy with a pessary for postmenopausal women. The main pessaries used are the ring and cube types (63.7 and 57.5%, respectively). Wide introitus (53.3%), difficulties of use (56.3%), a short vagina (41.4%), and major unmasked urinary incontinence (47.2%) are considered to be the main risk factors for pessary failure. The most common complications related to pessaries reported by the patients are vaginal discharge (48.6%) and pain or discomfort (40.6%). Up to 43.4% of respondents considered that a follow-up visit every 3–6 months was optimal. The need for training ranged from 42.8% for nurses to 65.2% for general practitioners. Conclusions: This national multidisciplinary survey revealed that HCPs in France are on the whole comfortable with pessaries and mainly prescribe the ring and cube form. Even if opinion about pessaries appears to be changing, HCPs would welcome additional training to improve knowledge and practices.

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Authors
Pizzoferrato, A.-C., Nyangoh-Timoh, K., Martin-Lasnel, M., Fauvet, R., de Tayrac, R., & Villot, A.
Affiliations
  • Centre Hospitalier Universitaire de Caen Normandie (FR)
  • Inserm, LTSI—UMR 1099 Unit, Department of Obstetrics and Gynecology, Rennes Hospital, Rennes University 1, Rennes, France.
  • Department of Obstetrics, Gynecology, and Reproductive Medicine, Caen University Hospital, Caen, France.
  • Department of Obstetrics and Gynaecology, Carémeau University Hospital, Nîmes, France.
  • Centre Hospitalier Public du Cotentin (FR)
Corresponding author
Pizzoferrato, Anne-Cécile
ORCID
Venue
Journal of Women's Health
Publisher
SAGE Publications
Published
2022-06
Volume
31
Issue
6
Pages
870-877
ISSN
  • 1059-7115 (ISSN-L)
  • 1540-9996
  • 1931-843X
DOI
10.1089/jwh.2021.0229
OpenAlex
W3202863398
Cited by
14
References
38
Citations by year
2026: 3 · 2025: 6 · 2024: 1 · 2023: 3 · 2022: 1
FWCI
0.94
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Women s Health (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
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, pessary fitting, pessary complications, local estrogen therapy, postmenopausal women, urinary incontinence, vaginal discharge
MeSH terms
Aged, Female, Humans, Pessaries, Surveys and Questionnaires, Urinary Incontinence, Vagina, Pelvic Organ Prolapse

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