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International Urogynecology Journal

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01-05-2012 | Original Article

Does a ring pessary in situ influence the pelvic floor muscle function of women with pelvic organ prolapse when tested in supine?

Authors: Kari Bø, Memona Majida, Marie Ellstrøm Engh

Published in: International Urogynecology Journal | Issue 5/2012

Abstract

Introduction and hypothesis

It has been suggested that repositioning pelvic organ prolapse (POP) by pessary support may improve pelvic floor muscle (PFM) function. The aim of the present study was to compare vaginal resting pressure and maximal voluntary contraction (MVC) of the PFM measured with and without a ring pessary in situ.

Methods

This was a short-term experimental study with women acting as their own controls. Twenty-two women with POP quantified II–IV were included. Vaginal resting pressure and MVC was measured with a manometer (Camtech AS) in supine position. Difference between measurements with and without the ring pessary was analyzed by paired sample t test and Wilcoxon signed rank test. Significance level was <0.05.

Results

There was a statistically significant difference in measurement of vaginal resting pressure (p < 0.01) but not of MVC (p = <0.68) with the ring pessary in situ.

Conclusions

Measurement of PFM strength can be done without repositioning the prolapse.

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Title: Does a ring pessary in situ influence the pelvic floor muscle function of women with pelvic organ prolapse when tested in supine?
Authors: Kari Bø
Memona Majida
Marie Ellstrøm Engh
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1598-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Does a ring pessary in situ influence the pelvic floor muscle function of women with pelvic organ prolapse when tested in supine?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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