Predictors of successful pessary fitting and continued use in a nurse-midwifery pessary clinic

Journal of Midwifery & Women's Health
Jennifer M MaitoRebecca G Rogers

Abstract

Women with incontinence and/or pelvic organ prolapse presenting to an urogynecology service were offered referral to a dedicated midwifery pessary clinic. Charts of these women were reviewed for demographic information, physical examination, pelvic floor disorders, and details of pessary-fitting sessions. Successful fitting was defined as a comfortable fit and retention of the pessary with valsalva and voiding. Continuation was defined as a successfully fit patient who returned at least once after the initial fitting with the pessary still in use. Spearman's correlations identified variables associated with successful fitting and continuation of use. Logistic regression identified variables that predicted continued use. Eighty-six percent of women were successfully fit, and 89% continued pessary use for a mean of 6 months. Predictors of unsuccessful fitting included a history of a prior prolapse procedure or hysterectomy (P < or = .001). Severe posterior prolapse was associated with pessary discontinuation after adjustment for patient's age (P < .04). Success rates for treatment of stress urinary incontinence, pelvic organ prolapse, or both were not significantly different (success rates of 94%, 89%, and 81%, respectively; P = ...Continue Reading

References

Dec 1, 1972·Clinical Obstetrics and Gynecology·W F Baden, T A Walker
Dec 15, 1983·American Journal of Obstetrics and Gynecology·N N BhatiaJ E Gunning
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
Dec 16, 1997·Obstetrics and Gynecology·V WuG Flowerdew
Jan 28, 1999·Obstetrics and Gynecology Clinics of North America·J P Theofrastous, S E Swift
Jan 28, 1999·Obstetrics and Gynecology Clinics of North America·G W Cundiff, W A Addison
Apr 25, 2000·Journal of Midwifery & Women's Health·L L Albers
Dec 6, 2002·International Urogynecology Journal and Pelvic Floor Dysfunction·V L Handa, M Jones
Jun 26, 2003·American Journal of Obstetrics and Gynecology·Jeanette S BrownUNKNOWN National Institute of Diabetes and Digestive Kidney Diseases International Research Working Group on Bladder Dysfunction
Feb 26, 2004·American Journal of Obstetrics and Gynecology·Jeffrey L ClemonsDeborah L Myers
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Jeffrey L ClemonsDeborah L Myers
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Cynthia BrincatLinda Brubaker
May 11, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Kenneth PowersMagdy S Mikhail

❮ Previous
Next ❯

Citations

Jun 18, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Charles W NagerUNKNOWN Pelvic Floor Disorders Network (PFDN)
Jan 12, 2010·International Urogynecology Journal·Sarah FriedmanErika Banks
Apr 8, 2011·International Urogynecology Journal·Babet H C LamersAlfredo L Milani
Apr 13, 2013·International Urogynecology Journal·Zoltan NemethJohannes Ott
Mar 7, 2008·The New England Journal of Medicine·Rebecca G Rogers
Aug 24, 2012·Obstetrics and Gynecology·Joseph SchafferHolly E Richter
Nov 26, 2009·Obstetrics and Gynecology Clinics of North America·Shanna D Atnip
Aug 30, 2008·The Medical Clinics of North America·Husam Abed, Rebecca G Rogers
Mar 20, 2016·International Urogynecology Journal·Suelene Costa de Albuquerque CoelhoCássia Raquel Teatin Juliato
May 20, 2015·International Urogynecology Journal·Jing DingLan Zhu
Jul 22, 2014·American Journal of Obstetrics and Gynecology·Sarah CollinsPaul Tulikangas
May 23, 2012·American Journal of Obstetrics and Gynecology·Karen L Miller, Carole A Baraldi
Apr 8, 2016·Female Pelvic Medicine & Reconstructive Surgery·Katharine O'DellKatherine Leung
Aug 16, 2016·International Urogynecology Journal·Chantal M C R PanmanJanny H Dekker
May 2, 2006·Journal of Midwifery & Women's Health·Katharine K O'Dell, Lisa C Labin
Aug 27, 2016·Female Pelvic Medicine & Reconstructive Surgery·Catherine A MatthewsHolly E Richter
Oct 30, 2013·Female Pelvic Medicine & Reconstructive Surgery·Roxana GeoffrionGeoffrey W Cundiff
May 31, 2016·Journal of Clinical Nursing·Christine MurrayWendy Pollock
Nov 6, 2015·Post Reproductive Health·Supriya BulchandaniPallavi Latthe
Jan 19, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Magali RobertAruna Uprety
Jun 20, 2017·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Anthony S PaganoJeffrey Laitman
Apr 19, 2017·Menopause : the Journal of the North American Menopause Society·Mou DengLan Zhu
Apr 28, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·M MaoL Zhu
Aug 18, 2017·International Urogynecology Journal·Theerarat YimphongSupparaluck Kanchaiyaphum
Mar 22, 2019·Climacteric : the Journal of the International Menopause Society·M MaoL Zhu
Apr 11, 2020·Archives of Gynecology and Obstetrics·Bin LiLihong Chen
Jul 25, 2019·Female Pelvic Medicine & Reconstructive Surgery·Radhika PatnamJennifer M Wu
Apr 17, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Friyan Turel FatakiaHans Peter Dietz
Jun 4, 2020·Female Pelvic Medicine & Reconstructive Surgery·Suelene C A CoelhoCássia R T Juliato
Nov 29, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Marie-Andrée HarveyJane A Schulz
Nov 29, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Marie-Andrée HarveyJane A Schulz
Mar 29, 2012·Female Pelvic Medicine & Reconstructive Surgery·Danielle MarkleKaren Noblett
Oct 13, 2021·Menopause : the Journal of the North American Menopause Society·Hainan XuZhijun Xia
May 23, 2018·Gynécologie, Obstétrique, Fertilité & Sénologie·E NohuzB Jacquetin
Nov 7, 2021·International Urogynecology Journal·Barbara Bevilacqua ZeigerAntonio Pedro Flores Auge

❮ 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

International Urogynecology Journal and Pelvic Floor Dysfunction
Victoria L Handa, M Jones
International Urogynecology Journal and Pelvic Floor Dysfunction
Kenneth PowersMagdy S Mikhail
© 2021 Meta ULC. All rights reserved