TY - JOUR
T1 - Factors influencing long-term pessary use
AU - Friedman, Sarah
AU - Sandhu, Katherine S.
AU - Wang, Cuiling
AU - Mikhail, Magdy S.
AU - Banks, Erika
PY - 2010/6
Y1 - 2010/6
N2 - 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.
AB - 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.
KW - Continued pessary use
KW - Long-term pessary use
KW - Nonsurgical management of prolapse
KW - Pelvic organ prolapse
KW - Pessary
KW - Pessary counseling
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U2 - 10.1007/s00192-009-1080-x
DO - 10.1007/s00192-009-1080-x
M3 - Article
C2 - 20062974
AN - SCOPUS:77952974401
VL - 21
SP - 673
EP - 678
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
SN - 0937-3462
IS - 6
ER -