Long-term Outcomes of Self-Management Gellhorn Pessary for Symptomatic Pelvic Organ Prolapse.

Female Pelvic Medicine & Reconstructive Surgery
Chih-Wei ChienShu-Jane Lee

Abstract

The aim of this study is to estimate the long-term survival and to identify adverse events associated with the use of Gellhorn pessaries over a 9-year period. This was a retrospective case series study at a tertiary urogynecology unit in Taiwan. Between January 2009 and June 2017, 93 patients who opted for self-management Gellhorn pessaries to treat symptomatic pelvic organ prolapse (POP) and who were continuously followed-up were enrolled. Long-term use was defined as use for longer than 1 year. Length of use, factors that predicted discontinuation, and adverse events were analyzed and reviewed by chart or telephone inquiry. The cumulative probabilities of continued pessary use at 1 and 5 years were 62.4% and 47.2%, respectively. Of those who discontinued use, 34 (70.8%) participants discontinued use within 1 year, and the mean duration of use was 13.7 months (range, 0-75 months; median, 5 months). Most of the participants stopped using the pessary because of bothersome adverse events such as pessary expulsion, vaginal pain, de novo urinary incontinence, and erosion/infection. Self-management Gellhorn pessary was safe and relatively effective and increased patients' autonomy and ability to manage their POP. One third of the pa...Continue Reading

References

Jul 1, 1996·American Journal of Obstetrics and Gynecology·R C BumpA R Smith
Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Jeffrey L ClemonsDeborah L Myers
Sep 2, 2005·Obstetrics and Gynecology·Anne M Weber, Holly E Richter
Jul 4, 2006·Obstetrics and Gynecology·Ruwan J FernandoPeter W Jones
Apr 16, 2008·Fertility and Sterility·Annette KuhnMichael D Mueller
Nov 13, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S SarmaK H Moore
Feb 23, 2010·American Journal of Obstetrics and Gynecology·Minita PatelChristine A LaSala
Dec 17, 2010·International Urogynecology Journal·Zeelha AbdoolReeba S Oliver
Apr 8, 2011·International Urogynecology Journal·Babet H C LamersAlfredo L Milani
Mar 9, 2012·International Urogynecology Journal·Symphorosa Shing Chee ChanTony Kwok Hung Chung
Nov 28, 2012·International Urogynecology Journal·Carol BuggeRanee Thakar
Feb 18, 2014·International Urogynecology Journal·A Khaja, R M Freeman
Oct 8, 2014·Taiwanese Journal of Obstetrics & Gynecology·Yiap Loong TanAnil Krishna Dass
Feb 2, 2016·Female Pelvic Medicine & Reconstructive Surgery·Lindsay K BrownMegan O Schimpf
Mar 20, 2016·International Urogynecology Journal·Suelene Costa de Albuquerque CoelhoCássia Raquel Teatin Juliato
Jan 1, 2014·BMJ Quality Improvement Reports·Rohna Kearney, Claire Brown
Jun 24, 2017·Menopause : the Journal of the North American Menopause Society·Mou DengLan Zhu
Dec 16, 2017·Taiwanese Journal of Obstetrics & Gynecology·Tsia-Shu LoMa Clarissa Uy-Patrimonio
Feb 9, 2018·Obstetrics and Gynecology·Michael BarskyAnne Hardart
Aug 22, 2018·Menopause : the Journal of the North American Menopause Society·Meng MaoLan Zhu

❮ Previous
Next ❯

Citations

Apr 29, 2020·International Urogynecology Journal·Cara L GrimesKate V Meriwether

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Somkiat SitavarinApichart Chittacharoen
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Farah LoneGeorge Karamalis
Female Pelvic Medicine & Reconstructive Surgery
Sandi TenfeldeKimberly Kenton
© 2021 Meta ULC. All rights reserved