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The following is a summary of “Examining pessary use and satisfaction in managing pelvic organ prolapse: results from a cross-sectional multicentre patient survey,” published in the December 2024 issue of Urology by Mussawar et al.
Vaginal pessaries are commonly used to manage pelvic organ prolapse (POP) and urinary incontinence, improving patients’ quality of life. However, many patients discontinue their use in favor of surgery due to various concerns.
Researchers conducted a retrospective study to explore patients’ experiences with pessary use in treating POP.
They conducted an online survey on pessary use and ideal characteristics. Participants were recruited from social media ads, online support groups, and pelvic floor clinics.
The results showed 100 participants were recruited, with 77 completing the survey. The largest age group was above 65 years (48.1%), followed by 35–44 years (20.8%). The most common issues were pelvic pain (35.2%), excess vaginal discharge and odor (32.4%), and difficulty with pessary placement (41.9%). Ideal characteristics included easy insertion and removal (81.8%) and relief from side effects (81.8%).
Investigators found that despite the benefits of pessaries in managing POP, many patients stopped or considered stopping their use due to concerns. They suggested that improving pessary design and ease of use could increase patient adherence.
Source: bmcurol.biomedcentral.com/articles/10.1186/s12894-024-01614-5#Abs1