SynthesisInternational urogynecology journal2022
Parameters associated with unsuccessful pessary fitting for pelvic organ prolapse up to three months follow-up: a systematic review and meta-analysis.
Synthesis in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Pessary Uptake and Outcomes in Women Who Ultimately Had Surgery for Prolapse.International urogynecology journal · 2026Article
- Proof of concept 3D ultrasound strain imaging measuring effect of a ring pessary on avulsed puborectal muscle.Communications medicine · 2025Article
- Updates in Pessary Care for Pelvic Organ Prolapse: A Narrative Review.Journal of clinical medicine · 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
- Discontinuation of pessary therapy within 24 months: can it be predicted?Archives of gynecology and obstetrics · 2024Observational
- Exploring Clinicians' Willingness to Embrace Customizable Pessaries: A Survey Study in the USA.International urogynecology journal · 2024Article
- The Role of Self-Management in Pessary Therapy for Pelvic Organ Prolapse-A retrospective cohort study.International urogynecology journal · 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
- What Type of Review is Yours?International urogynecology journal · 2024Article
- Adherence to support pessary in the treatment of pelvic organ prolapse: a retrospective study conducted among 1,371 women.International urogynecology journal · 2024Article
- Outcomes of pessary fitting trials for patients with stage IV pelvic organ prolapse: a prospective study.International urogynecology journal · 2024Article
- Adverse events associated with pessary use over one year among women attending a pessary care clinic.International urogynecology journal · 2023Observational
- Evaluating compliance and applicability of postpartum pessary use for preventing and treating pelvic floor dysfunction: a prospective multicenter study.Archives of gynecology and obstetrics · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo clarify which parameters are associated with unsuccessful pessary fitting for pelvic organ prolapse (POP) at up to 3 months follow-up.
methodsEmbase, PubMed and Cochrane CENTRAL library were searched in May 2020. Inclusion criteria were: (1) pessary fitting attempted in women with symptomatic POP; (2) pessary fitting success among the study outcomes with a maximal follow-up of 3 months; (3) baseline parameters compared between successful and unsuccessful group. A meta-analysis was performed using the random effects model. MAIN
resultsTwenty-four studies were included in the meta-analysis. Parameters associated with unsuccessful pessary fitting were: age (OR 0.70, 95% CI 0.56-0.86); BMI (OR 1.35, 95% CI 1.08-1.70); menopause (OR 0.65 95% CI 0.47-0.88); de novo stress urinary incontinence (OR 5.59, 95% CI 2.24-13.99); prior surgery, i.e. hysterectomy (OR 1.88, 95% CI 1.48-2.40), POP surgery (OR 2.13, 95% CI 1.34-3.38), pelvic surgery (OR 1.81, 05% CI 1.01-3.26) and incontinence surgery (OR 1.87, 95% CI 1.08-3.25); Colorectal-Anal Distress Inventory-8 scores (OR 1.92, 95% CI 1.22-3.02); solitary predominant posterior compartment POP (OR 1.59, 95% CI 1.08-2.35); total vaginal length (OR 0.56, 95% CI 0.32-0.97); wide introitus (OR 4.85, 95% CI 1.60-14.68); levator ani avulsion (OR 2.47, 95% CI 1.35-4.53) and hiatal area on maximum Valsalva (OR 1.89, 95% CI 1.27-2.80).
conclusionDuring counselling for pessary treatment a higher risk of failure due to the aforementioned parameters should be discussed and modifiable parameters should be addressed. More research is needed on the association between anatomical parameters and specific reasons for unsuccessful pessary fitting.
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