Defecatory dysfunction and other clinical variables are predictors of pessary discontinuation.

Introduction And Hypothesis: Pessaries provide first-line therapy for women with pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The primary hypothesis was that defecatory dysfunction was associated with pessary discontinuation.

Methods: This was a retrospective cohort study of all women undergoing first pessary placement at one academic center from April 2014 to January 2017.