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Erschienen in: International Urogynecology Journal 6/2010

01.06.2010 | Original Article

Factors influencing long-term pessary use

verfasst von: Sarah Friedman, Katherine S. Sandhu, Cuiling Wang, Magdy S. Mikhail, Erika Banks

Erschienen in: International Urogynecology Journal | Ausgabe 6/2010

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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.
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Metadaten
Titel
Factors influencing long-term pessary use
verfasst von
Sarah Friedman
Katherine S. Sandhu
Cuiling Wang
Magdy S. Mikhail
Erika Banks
Publikationsdatum
01.06.2010
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 6/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1080-x

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