Trial reportInternational urogynecology journal2017
Predictors of unsuccessful pessary fitting in women with prolapse: a cross-sectional study in general practice.
Trial report in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Evaluation of Patient Satisfaction With Pessary in the Treatment of Genital Prolapse
Longitudinal Assessment of Pessary Experience
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- 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
- 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
- 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
- Analysing the support mechanisms of the vaginal ring pessary on supine and upright MRI.Scientific reports · 2024Article
- Examining pessary use and satisfaction in managing pelvic organ prolapse: results from a cross-sectional multicentre patient survey.BMC urology · 2024Article
- Explorative Identification of Anatomical Parameters Associated with Successful Pessary Fitting in Pelvic Organ Prolapse Using Dynamic Magnetic Resonance Imaging.Journal of clinical medicine · 2024Article
- Effectiveness and safety of a novel, collapsible pessary for management of pelvic organ prolapse.American journal of obstetrics and gynecology · 2024Article
- Adherence to support pessary in the treatment of pelvic organ prolapse: a retrospective study conducted among 1,371 women.International urogynecology journal · 2024Article
- A randomized controlled study comparing the objective efficacy and safety of a novel self-inserted disposable vaginal prolapse device and existing ring pessaries.Frontiers in medicine · 2023Article
- Transperineal ultrasound to estimate the appropriate ring pessary size for women with pelvic organ prolapse.International urogynecology journal · 2022Article
- Pessary fitting for pelvic organ prolapse: parameters associated with specific reasons for failure.International urogynecology journal · 2022Observational
- Patient-Centered Goals for Treatment of Pelvic Floor Disorders.Current bladder dysfunction reports · 2022Review
- Factors associated with unsuccessful pessary fitting and reasons for discontinuation in Korean women with pelvic organ prolapse.Obstetrics & gynecology science · 2022Article
- Can we predict continued pessary use as primary treatment in women with symptomatic pelvic organ prolapse (POP)? A prospective cohort study.International urogynecology journal · 2021Article
- The effect of pessary treatment on puborectalis muscle function.International urogynecology journal · 2021Article
- Is it safe and effective to maintain the vaginal pessary without removing it for 2 consecutive years?International urogynecology journal · 2020Observational
- Documenting pessary offer prior to hysterectomy for management of pelvic organ prolapse.International urogynecology journal · 2019Article
- The Novel and Minimally Invasive Treatment Modalities for Female Pelvic Floor Muscle Dysfunction; Beyond the TraditionalBalkan medical journal · 2018Review
- Ring and Gellhorn pessaries used in patients with pelvic organ prolapse: a retrospective study of 8 years.Archives of gynecology and obstetrics · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPelvic organ prolapse is a common condition. There is inconsistency between predictors of unsuccessful pessary fitting in urological/gynaecological clinics. Research in general practice is scarce. The aim was to estimate the proportion of women in general practice with a symptomatic pelvic organ prolapse and unsuccessful pessary fitting, and to identify characteristics associated with unsuccessful pessary fitting.
methodsA cross-sectional study in general practice (n = 20) was carried out among women (≥55 years) with symptomatic prolapse (n = 78). Multivariate logistic regression analysis was used to identify predictors of unsuccessful pessary fitting.
resultsIn total, 33 women (42 %) had unsuccessful pessary fitting. Factors associated with unsuccessful pessary fitting were age (per year, OR 0.93 [95 % CI 0.87-1.00]), body mass index (per kg/m
conclusionsPessary fitting was successful in 58 %, indicating that pessary treatment may be suitable for many, but not for all women in general practice with symptomatic prolapse. The condition of the pelvic floor probably plays a role in the success of pessary fitting, as demonstrated by the association with underactive pelvic floor muscles, and body mass index. The association with age may reflect the higher acceptance of conservative treatments for prolapse in older women. This is the first study on predictive factors for unsuccessful pessary fitting in general practice. Therefore, further research should seek to confirm these associations before we can recommend the use of this information in patient counselling.
Indexed as
Identifiers
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.