Evidence map›Paper›PMID 31143980›Full record

ArticleInternational urogynecology journal2020

Management of stress urinary incontinence using vaginal incontinence pessaries in rural Kilimanjaro, Tanzania.

Benjamin C Shayo, Diva J Mwakanyamale, Gileard G Masenga, Vibeke Rasch

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Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

4 authors at 2 institutions in 2 countries.

Benjamin C ShayoKilimanjaro Christian Medical University College, Moshi, Tanzania. benjamin.shayo@gmail.com.ORCID 0000-0001-8544-437X
Diva J MwakanyamaleKilimanjaro Christian Medical University College, Moshi, Tanzania.
Gileard G MasengaKilimanjaro Christian Medical University College, Moshi, Tanzania.
Vibeke RaschDepartment of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark.
Kilimanjaro Christian Medical Centre · TZUniversity of Southern Denmark · DK

Funding

Danish International Development Agency BSU2-KCMUC.D
6 · The paper itself

Abstract

introduction and hypothesisThe effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income countries. This study, therefore, aims to describe the acceptance, impact and complications of pessary treatment among Tanzanian women diagnosed with stress UI.

methodsWomen who reported stress UI underwent a stress test, and if positive they were offered an incontinence pessary. Swahili versions of the Urinary Distress Inventory-6 (UDI-6) and the Urinary Impact Questionnaire (UIQ) were administered at 3- and 12-18-month follow-ups in addition to questions regarding pessary acceptance and pelvic examination for complications.

resultsA total of 48 women were fitted with an incontinence pessary. The frequency and amount of leakage were reduced significantly at 3- and 12-18-month follow-up. Additionally, a significant reduction in the overall UDI-6 score from 29.2 to 25.0 and overall UIQ score from 52.1 to 25.0 was observed from baseline to 3-month follow-up. Thirty-seven per cent of the women reported vaginal discharge at 12-18 months while signs of infection were found in 11.5%. In all, 32/48 (67%) wanted to continue the pessary treatment at 12-18-month follow-up.

conclusionsIn the setting studied, pessaries for stress UI can be successfully fitted in most women with considerable acceptance and satisfaction rates and minimal complications.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressFemaleHumansPessariesSurveys and QuestionnairesTanzaniaIncontinence pessaryStress urinary incontinenceTanzaniaUDIUIQ

Identifiers

PMID31143980
OpenAlexW2947887144

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.