Factors Associated with Successful Pessary Fitting for Pelvic Organ Prolapse

Observational study points to longer vaginal length as a predictor of success.

Symptomatic pelvic organ prolapse (POP) is typically managed with a vaginal pessary or pelvic reconstructive surgery; however, many women are not good surgical candidates. Investigators at one institution in China conducted a prospective observational study involving 343 women with POP to identify risk factors for unsuccessful pessary fitting. Successful fitting was defined by ongoing use at 2 weeks, at which time patients returned to report on their comfort and whether they wanted to keep the pessary; those who reported discomfort were offered a second fitting with similar follow-up.

Pessary fitting was successful in 302 participants (88.0%), with ring pessaries the most common type (70.2%). In univariate analysis, factors significantly ass…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Factors Associated with Successful Pessary Fitting for Pelvic Organ Prolapse

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Reviewing Author