Evidence map›Paper›PMID 29713205›Full record

ReviewInternational journal of women's health2018

Pessary use in stress urinary incontinence: a review of advantages, complications, patient satisfaction, and quality of life.

Ghadeer Al-Shaikh, Sadiqa Syed, Somaia Osman, Abdulrahman Bogis, Ahmed Al-Badr

2 registry-linked trialsAbstract readReview
In one paragraph

Review in International journal of women's health, 2018. 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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04590092 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Pessary Use for Stress Urinary Incontinence in Pregnancy: a Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of British ColumbiaRan2021 to 2022Enrolled60ConditionsStress Urinary Incontinence, Pregnancy RelatedArmsCooper Surgical Ring Pessary with Incontinence Knob
NCT07103161 narecruitingnot on this mapstarted 2022, after this paper: background citation

Does a Regular Tampon or Intravaginal Pessary Mitigate Urine Leakage While Running Among Females Who Experience Exercise-induced Urinary Incontinence?

TypeinterventionalSponsorUniversity of OttawaRan2022 to 2026Enrolled30ConditionsStress Urinary Incontinence (SUI)ArmsUresta bladder support device, Sportex regular tampon
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions for treating urinary incontinence after stroke in adults.The Cochrane database of systematic reviews · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ghadeer Al-ShaikhDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Sadiqa SyedDepartment of Basic Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Somaia OsmanDepartment of Urogynecology & Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Abdulrahman BogisDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ahmed Al-BadrDepartment of Urogynecology & Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress urinary incontinnce (SUI) is a common condition among women. The usual approach to treatment of SUI is a stepwise plan from conservative to surgical procedures. A vaginal pessary is one of the commonly used conservative treatments that offer symptomatic improvement for women with incontinence. This review provides a critical analysis of the benefits and shortcomings offered by vaginal pessaries to patients affected by SUI, with a particular focus on indications, advantages, quality of life, patient satisfaction, and potential complications. To obtain the required information, an extensive search of PubMed and Cochrane databases was performed, covering the time frame from January 2000 to December 2016. We also surveyed the published guidelines of American Urological Association, Canadian Urological Association, American Urogynecological Society, National Institutes of Health (USA), and National Institute for Health and Care Excellence (UK). A total of 192 original research papers, review articles, and clinical trials were identified. The analysis of retrieved data provides evidence that vaginal pessaries constitute an effective nonsurgical option for SUI. The satisfaction rate with pessary use is high and only minor complications, if any, occur, vaginal discharge being the most common. The reviewed studies document that vaginal pessaries provide an adequate control of SUI if they are fit properly and managed by frequent replacements and regular checkups. They should be considered among the first line of treatment for SUI associated with exercise and increased intra-abdominal pressure.

Indexed as

nonsurgical interventionpessaryurinary incontinencevaginal prolapse

Identifiers

PMID29713205
PMCPMC5909791

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.