ArticleInternational urogynecology journal2013
The cube pessary: an underestimated treatment option for pelvic organ prolapse? Subjective 1-year outcomes.
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 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Self-care of vaginal pessary for pelvic organ prolapse: a systematic review and meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- Parameters associated with unsuccessful pessary fitting for pelvic organ prolapse up to three months follow-up: a systematic review and meta-analysis.International urogynecology journal · 2022Pooled it
- The Success Rate of Hong Kong Chinese Women with Pelvic Organ Prolapse in Pessary Self-Management: a Multi-Centered Prospective Study.International urogynecology journal · 2026Article
- Demographic, socioeconomic and functional health-related factors in the selection of vaginal pessaries used for the conservative treatment of pelvic organ prolapse: a retrospective study.BMC women's health · 2025Article
- International Urogynecology Consultation Chapter 3 Committee 1 - Pessary Management.International urogynecology journal · 2025Review
- Long-Term Self-Management of Vaginal Cube Pessaries Can Improve Sexual Life in Patients with Pelvic Organ Prolapse, Results from a Secondary Analysis.International urogynecology journal · 2024Article
- The Role of Self-Management in Pessary Therapy for Pelvic Organ Prolapse-A retrospective cohort study.International urogynecology journal · 2024Article
- Comparison of Vaginal Pessaries to Standard Care or Pelvic Floor Muscle Training for Treating Postpartum Urinary Incontinence: a Pragmatic Randomized Controlled Trial.Geburtshilfe und Frauenheilkunde · 2024Article
- The impact on complication rates of delayed routine pessary reviews during the COVID-19 pandemic.International urogynecology journal · 2023Article
- Self-management of vaginal cube pessaries may be a game changer for pelvic organ prolapse treatment: a long-term follow-up study.International urogynecology journal · 2023Article
- 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
- Is hysterectomy or prior reconstructive surgery associated with unsuccessful initial trial of pessary fitting in women with symptomatic pelvic organ prolapse?International urogynecology journal · 2017Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPelvic organ prolapse (POP) is a common condition. The use of pessaries for conservative management of POP is widespread. However, there are little data on the use of cube pessaries. The aim of our study was to evaluate whether self-therapy with the use of vaginal cube pessaries in women with POP can be a well-tolerated, first-line treatment.
methodsIn a prospective case series, 87 women who suffered from symptomatic POP, stages II-IV, were instructed in self-treatment with a vaginal cube pessary. Differences were analyzed using Wilcoxon's rank sum test or Fisher's exact test.
resultsA pessary could be fitted in 84/87 patients (96.6%); 6 women were lost to follow-up. The remaining 78 patients (92.9%, median age 60 years) completed the study. Sixteen women (20.5%) chose not to continue with the pessary treatment. For these patients, general well-being decreased from a median numeric rating score (NRS) of 4.5 (3-6) to 2.0 (1-3, p < 0.001). In those who continued treatment, general well-being increased from a median NRS of 3.0 (2-5) to 8.0 (7-10, p < 0.001) after 1 year of use. The majority of patients (53) in the present study rated pessary self-care use as "very easy" or "easy" (85.5%). The Patient Global Impression of Improvement (PGI-I) was 2.0 (1-3) at follow-up examination. There were no complications or adverse effects of pessary use.
conclusionsConservative self-treatment with vaginal cube pessaries might be a feasible treatment option for women who suffer from POP.
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