Factors influencing long-term pessary use.
Publication/Presentation Date
6-1-2010
Abstract
INTRODUCTION AND HYPOTHESIS: We aimed to identify factors contributing to successful pessary use for over 1 year.
METHODS: A chart review was conducted composed of 150 women at Montefiore Medical Center, using a pessary for over 1 year. Characteristics of those who continued pessary usage were compared with those who discontinued use by using Chi-square, Fisher's exact test, logistic regression model, receiver-operator characteristic curve, and Kaplan-Meier survival curves.
RESULTS: Thirty-five women (23%) discontinued using pessaries (DP) after a year, while 115 women (77%) continued (CP). There was no difference in multiple characteristics. The DP group had more patients with stress incontinence, p = 0.17. Older age at pessary insertion showed higher continued use (OR = 1.083, CI: 1.033-1.136). Patients with a history of prolapse repair surgery were more likely to discontinue pessary use.
CONCLUSIONS: Age greater than 72 years was associated with continued pessary use and history of hysterectomy or prolapse surgery, and stress incontinence were associated with discontinuation.
Volume
21
Issue
6
First Page
673
Last Page
678
ISSN
1433-3023
Published In/Presented At
Friedman, S., Sandhu, K. S., Wang, C., Mikhail, M. S., & Banks, E. (2010). Factors influencing long-term pessary use. International urogynecology journal, 21(6), 673–678. https://doi.org/10.1007/s00192-009-1080-x
Disciplines
Medicine and Health Sciences
PubMedID
20062974
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article