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Open Access 01-09-2009 | Original Article

Incontinence pessaries: size, POPQ measures, and successful fitting

Authors: Charles W. Nager, Holly E. Richter, Ingrid Nygaard, Marie Fidela Paraiso, Jennifer M. Wu, Kimberly Kenton, Shanna D. Atnip, Cathie Spino, for the Pelvic Floor Disorders Network (PFDN)

Published in: International Urogynecology Journal | Issue 9/2009

Abstract

Introduction and hypothesis

The aim of the study was to determine whether successful incontinence pessary fitting or pessary size can be predicted by specific POPQ measurements in women without advanced pelvic organ prolapse.

Methods

In a multicenter study, women with stress urinary incontinence (SUI) and POPQ stage ≤2 were randomized to three treatment arms: (1) incontinence pessary, (2) behavioral therapy, or (3) both. This study evaluates incontinence pessary size, POPQ measures, and successful fitting in the 266 women assigned to treatment arms 1 and 3.

Results

Two hundred thirty-five women (92%) were successfully fitted with an incontinence ring (n = 122) or dish (n = 113). Hysterectomy, genital hiatus (GH), and GH/total vaginal length (TVL) ratios did not predict unsuccessful fitting (p > 0.05). However, mean TVL was greater in women successfully fitted (9.6 vs. 8.8 cm, p < 0.01). Final pessary diameter was not predicted by TVL, point D, or point C (p > 0.05).

Conclusions

The vast majority of women with SUI can be successfully fitted with an incontinence pessary, but specific POPQ measures were not helpful in determining incontinence pessary size.

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Title: Incontinence pessaries: size, POPQ measures, and successful fitting
Authors: Charles W. Nager
Holly E. Richter
Ingrid Nygaard
Marie Fidela Paraiso
Jennifer M. Wu
Kimberly Kenton
Shanna D. Atnip
Cathie Spino
for the Pelvic Floor Disorders Network (PFDN)
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0866-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Incontinence pessaries: size, POPQ measures, and successful fitting

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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