Literature DB >> 17403437

The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries.

Geoffrey W Cundiff1, Cindy L Amundsen, Alfred E Bent, Kimberly W Coates, Joseph I Schaffer, Kris Strohbehn, Victoria L Handa.   

Abstract

OBJECTIVE: The aim of this randomized crossover trial was to compare symptom relief and change in life impact for women using the ring with support and Gellhorn pessaries. STUDY
DESIGN: Subjects were randomized to use each pessary for 3 months. Outcome data included a visual analog satisfaction score, and quality of life questionnaires. Analysis included student's t-test, Wilcoxan Signed-rank test and logistical regression.
RESULTS: Subjects were primarily white, parous, postmenopausal women with a mean age of 61. The median POPQ stage was III. We enrolled 134 subjects and collected 3-month data on 94 ring and 99 Gellhorn subjects. There were statistically and clinically significant improvements in the majority of the PFDI and many PFIQ scales with both pessaries, but no clinically significant differences between the two pessaries.
CONCLUSIONS: The ring with support and Gellhorn pessaries are effective and equivalent in relieving symptoms of protrusion and voiding dysfunction.

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Year:  2007        PMID: 17403437     DOI: 10.1016/j.ajog.2007.02.018

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  28 in total

1.  Informed surgical consent for a mesh/graft-augmented vaginal repair of pelvic organ prolapse. Consensus of the 2nd IUGA Grafts Roundtable: optimizing safety and appropriateness of graft use in transvaginal pelvic reconstructive surgery.

Authors:  Dennis Miller; Alfredo L Milani; Suzette E Sutherland; Bonnie Navin; Rebecca G Rogers
Journal:  Int Urogynecol J       Date:  2012-03-07       Impact factor: 2.894

2.  Pessary use in pelvic organ prolapse and urinary incontinence.

Authors:  Keisha A Jones; Oz Harmanli
Journal:  Rev Obstet Gynecol       Date:  2010

3.  Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016).

Authors:  K Baeßler; T Aigmüller; S Albrich; C Anthuber; D Finas; T Fink; C Fünfgeld; B Gabriel; U Henscher; F H Hetzer; M Hübner; B Junginger; K Jundt; S Kropshofer; A Kuhn; L Logé; G Nauman; U Peschers; T Pfiffer; O Schwandner; A Strauss; R Tunn; V Viereck
Journal:  Geburtshilfe Frauenheilkd       Date:  2016-12       Impact factor: 2.915

4.  Treatment of vaginal vault prolapse in The Netherlands: a clinical practice survey.

Authors:  Carolien K M Vermeulen; Anne Lotte W M Coolen; Wilbert A Spaans; Jan Paul W R Roovers; Marlies Y Bongers
Journal:  Int Urogynecol J       Date:  2018-12-04       Impact factor: 2.894

5.  Vaginal pessaries in the management of symptomatic pelvic organ prolapse in rural Kilimanjaro, Tanzania: a pre-post interventional study.

Authors:  Benjamin C Shayo; Gileard G Masenga; Vibeke Rasch
Journal:  Int Urogynecol J       Date:  2018-08-18       Impact factor: 2.894

Review 6.  Pessaries (mechanical devices) for pelvic organ prolapse in women.

Authors:  Carol Bugge; Elisabeth J Adams; Deepa Gopinath; Fiona Reid
Journal:  Cochrane Database Syst Rev       Date:  2013-02-28

7.  Chinese validation of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire.

Authors:  Symphorosa Shing Chee Chan; Rachel Yau Kar Cheung; Alice Ka Wah Yiu; Jimmy Chak Man Li; Beatrice Pui Yee Lai; Kwong Wai Choy; Tony Kwok Hung Chung
Journal:  Int Urogynecol J       Date:  2011-05-25       Impact factor: 2.894

8.  Pessary types and discontinuation rates in patients with advanced pelvic organ prolapse.

Authors:  Birte Wolff; Kathryn Williams; Allen Winkler; Lawrence Lind; Dara Shalom
Journal:  Int Urogynecol J       Date:  2016-12-10       Impact factor: 2.894

9.  Patterns of pessary care and outcomes for medicare beneficiaries with pelvic organ prolapse.

Authors:  Marianna Alperin; Aqsa Khan; Emily Dubina; Christopher Tarnay; Ning Wu; Chris L Pashos; Jennifer T Anger
Journal:  Female Pelvic Med Reconstr Surg       Date:  2013 May-Jun       Impact factor: 2.091

Review 10.  Female pelvic organ prolapse using pessaries: systematic review.

Authors:  Suelene Costa de Albuquerque Coelho; Edilson Benedito de Castro; Cássia Raquel Teatin Juliato
Journal:  Int Urogynecol J       Date:  2016-03-18       Impact factor: 2.894

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