ArticleInternational urogynecology journal2021
Current trends in pessary management of vaginal prolapse: a multidisciplinary survey of UK practice.
Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Do vaginal pessaries used to treat pelvic organ prolapse impact on sexual function? A systematic review and meta-analysis.International urogynecology journal · 2022Pooled it
- A Sisterhood of Women: The Process of Co-Creating Recommendations for Improved Pessary Self-Management Support.Journal of advanced nursing · 2026Article
- How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI-RS 2025.Neurourology and urodynamics · 2026Review
- International Urogynecology Consultation Chapter 3 Committee 1 - Pessary Management.International urogynecology journal · 2025Review
- Long-Term Compliance of Self-Care Pessary in Symptomatic Pelvic Organ Prolapse.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
- Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment.Revista brasileira de enfermagem · 2024Article
- Pessary management practices for pelvic organ prolapse among Australian health care practitioners: a cross-sectional study.International urogynecology journal · 2023Article
- Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study.International urogynecology journal · 2022Review
- Postnatal Prolapse Care in the UK: A Qualitative Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisSymptomatic vaginal prolapse affects 6-28% of women and significantly impacts their quality of life. Pessaries for prolapse are used by three-quarters of clinicians as a first-line treatment; however, current clinical use in the UK is unknown and there is a lack of clinical guidance or training. This study is aimed at informing the upcoming UK Clinical Guidance on best practice for the use of pessaries document.
methodsA 19-question, anonymised, electronic survey was sent to members of the nine professional bodies delivering pessary care in the UK.
resultsOf 917 respondents, 403 (246 nurses, 134 doctors, 22 physiotherapists and 1 other profession) currently deliver pessary care. PVC/vinyl ring, silicone ring, Gellhorn and shelf pessaries are most popular, and are used frequently by 93% of respondents. Further pessary training was deemed necessary by 62% of those currently providing pessary care, and 70% of those who do not. The most highly rated method for previous and future training is shadowing another clinician. One in three respondents receive no ancillary support and nearly 1 in 7 (predominantly nurses) report the absence of cross-cover arrangements, leaving a gap in care provision.
conclusionsService provision, support and pessary training in the UK vary greatly. This calls for the standardisation of care, training and development of a national guideline. We present a clear rationale and need for a UK guideline on pessary management of vaginal prolapse and a standardised pessary training model for multi-professional use.
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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.