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Related Experiment Video

Updated: Jul 9, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Pelvic floor symptom changes in pessary users.

Yuko M Komesu1, Rebecca G Rogers, Martha A Rode

  • 1Division of Urogynecology and Pelvic Floor Disorders, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center School of Medicine, Albuquerque, NM, USA.

American Journal of Obstetrics and Gynecology
|December 7, 2007
PubMed
Summary
This summary is machine-generated.

Women continuing pessary use reported better pelvic floor symptoms. A significant improvement in prolapse symptoms best predicted continued pessary use, highlighting its effectiveness for pelvic organ prolapse.

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Last Updated: Jul 9, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
03:30

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders

Background:

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

Purpose of the Study:

  • To compare pelvic floor symptom changes in patients who continue versus discontinue pessary use.
  • To determine if symptom changes predict pessary continuation.

Main Methods:

  • Women completed the Pelvic Floor Distress Inventory-20 (PFDI-20) before and after pessary use.
  • Scores were compared between continuation and discontinuation groups.
  • Logistic regression and ROC curves identified predictive scores.

Main Results:

  • 56% of women continued pessary use at 6-12 months.
  • The continuation group showed significantly better final PFDI-20, bladder, and prolapse scores.
  • A 50% reduction in prolapse score at 2 months best predicted continuation.

Conclusions:

  • Pessary use improves pelvic floor symptoms, particularly prolapse.
  • Symptom improvement, especially in prolapse, is a key factor for continued pessary use.
  • The PFDI-20 is a useful tool for assessing treatment outcomes and predicting adherence.