ArticleInternational urogynecology journal2013
Vaginal pessaries for pelvic organ prolapse and urinary incontinence: a multiprofessional survey of practice.
Article in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Pessaries (mechanical devices) for managing pelvic organ prolapse in women.The Cochrane database of systematic reviews · 2020Pooled it
- Self-management of vaginal pessaries for pelvic organ prolapse: multi-method process evaluation, linked to the TOPSY randomised controlled trial.BMC medicine · 2025Trial
- Clinical and cost-effectiveness of pessary self-management versus clinic-based care for pelvic organ prolapse in women: the TOPSY RCT with process evaluation.Health technology assessment (Winchester, England) · 2024Trial
- Trial
- Trial
- Effects of Delayed Pessary Maintenance Appointments on Patient's Symptoms and Clinical Findings During the COVID-19 Pandemic.International urogynecology journal · 2026Article
- Attitudes toward conservative management of pelvic organ prolapse and stress urinary incontinence with vaginal pessaries: A national survey among Israeli obstetricians and gynecologists.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Updates in Pessary Care for Pelvic Organ Prolapse: A Narrative Review.Journal of clinical medicine · 2025Review
- International Urogynecology Consultation Chapter 3 Committee 1 - Pessary Management.International urogynecology journal · 2025Review
- Challenges in Providing Gynecological Procedures in Primary Care: A Survey of Canadian Academic Family Physicians.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Pessary management practices for pelvic organ prolapse among Australian health care practitioners: a cross-sectional study.International urogynecology journal · 2023Article
- Does monthly self-management of vaginal ring pessaries reduce the rate of adverse events? A clinical audit.European journal of obstetrics & gynecology and reproductive biology: X · 2022Article
- What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review.BMJ open · 2022Article
- Current trends in pessary management of vaginal prolapse: a multidisciplinary survey of UK practice.International urogynecology journal · 2021Article
- A service evaluation to determine where and who delivers pessary care in the UK.International urogynecology journal · 2021Article
- Article
- Factors associated with the prescription of vaginal pessaries for pelvic organ prolapse.Clinics (Sao Paulo, Brazil) · 2019Article
- A nationwide survey concerning practices in pessary use for pelvic organ prolapse in The Netherlands: identifying needs for further research.International urogynecology journal · 2015Article
- The investigation and treatment of female pelvic floor dysfunction.Deutsches Arzteblatt international · 2015Review
- How often should shelf/Gellhorn pessaries be changed? A survey of IUGA urogynaecologists.International urogynecology journal · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
introduction and hypothesisVaginal pessaries may offer symptomatic improvement for women with pelvic organ prolapse (POP) or urinary incontinence (UI). This study aimed to investigate multidisciplinary perspectives on vaginal pessary use in clinical practice and to understand the service organisation of vaginal pessary care for women with these conditions.
methodsA pretested, anonymous survey was e-mailed to members of the Royal College of Obstetrics and Gynaecology, the Association for Continence Advice and the Association of Chartered Physiotherapists in Women's Health in the UK.
resultsA total of 678 respondents, from medical, nursing and physiotherapy professions, consented to survey participation and provided useable data (response rate 20.7 %). Doctors were significantly more likely to report involvement in pessary care than nurses or physiotherapists. Respondents were optimistic about the success of pessary treatment; however, a lower proportion reported using pessaries for UI than for prolapse. The majority of respondents used ring pessaries and shelf pessaries, most recipients were older women, and commonly an indication for fitting a pessary was that the woman was unfit for surgery. More than 15 % of respondents providing pessary care had not received training. Follow-up services for women with pessaries varied considerably.
conclusionsThe variation in pessary care delivery and organisation requires further study in order to maximise efficiency and effectiveness. The development of nurse- or physiotherapist-led models of care may be appropriate, but the effectiveness of such models requires testing. Furthermore, to potentially improve outcomes of pessary care, a greater understanding of the availability, content and process of training may be warranted.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.