Factors influencing long-term pessary use.

Int Urogynecol J

Obstetrics, Gynecology, and Women's Health, Division of Urogynecology and Pelvic Reconstructive Surgery, Albert Einstein College of Medicine, Bronx, NY, USA.

Published: June 2010

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.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00192-009-1080-xDOI Listing

Publication Analysis

Top Keywords

continued pessary
8
stress incontinence
8
pessary
7
factors influencing
4
influencing long-term
4
long-term pessary
4
pessary introduction
4
introduction hypothesis
4
hypothesis aimed
4
aimed identify
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!