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Related Experiment Videos

Sexual activity predicts continued pessary use.

Cynthia Brincat1, Kimberly Kenton, Mary Pat Fitzgerald

  • 1Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL, USA.

American Journal of Obstetrics and Gynecology
|August 6, 2004
PubMed
Summary

Sexually active women and those with pelvic organ prolapse are more likely to continue pessary use. This study found 60% of women continued pessary treatment for prolapse or incontinence.

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Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders

Background:

  • Pessary use is a common treatment for pelvic organ disorders.
  • Predictors of long-term pessary adherence are not well-established.

Purpose of the Study:

  • To identify clinical variables associated with sustained pessary use.
  • To understand factors influencing patient acceptance of pessary treatment.

Main Methods:

  • Retrospective chart review of 136 women who purchased pessaries.
  • Comparison of demographic and clinical data between pessary users and non-users.
  • Analysis of reasons for pessary discontinuation.

Main Results:

  • Sexual activity was a significant predictor of continued pessary use (P=.021).

Related Experiment Videos

  • Women with pelvic organ prolapse were more likely to continue pessary use than those with incontinence (P=.049).
  • No other demographic factors predicted long-term adherence.

    • Conclusions:

    • Pessary therapy is a viable long-term option for sexually active women.
    • Patients with pelvic organ prolapse demonstrate higher adherence rates compared to those with urinary incontinence.
    • Overall, 60% of women continued pessary use for their condition.