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Pessary

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FIGO good practice recommendations on the use of pessary for reducing the frequency and improving outcomes of preterm birth.

William A Grobman, Jane Norman, Bo Jacobsson, ,

A pessary is a device made of synthetic material that is placed in the vagina and has been used for prevention of preterm birth. It has been suggested that a potential mechanism of the pessary is alteration of the cervico-uterine angle to a more posterior position, which reduces cervical compression ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, 155(1):23-25]

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Comparison of effectiveness between modified transvaginal mesh surgery and vaginal pessary treatment in patients with symptomatic pelvic organ prolapse.

Manami Kinjo, Mitsuko Tanba, Kazuki Masuda, Yu Nakamura, Mitsuhiro Tanbo, Hiroshi Fukuhara,

<h4>Objectives</h4>This study aimed to compare the efficacy of modified transvaginal mesh (TVM) surgery and vaginal pessary in patients with symptomatic pelvic organ prolapse (POP).<h4>Methods</h4>We retrospectively analyzed 130 patients with symptomatic POP treated with either modified TVM (n = 62) or vaginal pessary (n = 68). To evaluate the prolapse, lower urinary tract, bowel, and ... Read more >>

Low Urin Tract Symptoms (Lower urinary tract symptoms)
[2021, :]

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Pessary for Management of Cervical Varices Complicating Pregnancy.

Eduardo González-Bosquet, Laia Grau, Sílvia Ferrero-Martínez, Alicia Hernandez-Saborit, Monica Rebollo, Marta Gomez-Chiari, Josep Maria Martínez Crespo, Maria Dolores Gómez-Roig,

<h4>Background</h4>Cervical varices complicating pregnancy are rare but can cause significant maternal and perinatal morbidity. There is limited evidence regarding the optimal management of bleeding caused by cervical varices during pregnancy.<h4>Case</h4>A 38-year-old woman was admitted to the hospital at 16 weeks of gestation due to vaginal hemorrhage in the setting of ... Read more >>

Obstet Gynecol (Obstetrics and gynecology)
[2021, 138(3):482-486]

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A randomized trial comparing continence pessary to continence device (Poise Impressa®) for stress incontinence.

Silpa Nekkanti, Jennifer M Wu, Andrew F Hundley, Catherine Hudson, Lopa K Pandya, Alexis A Dieter,

<h4>Introduction and hypothesis</h4>To conduct a multi-centered randomized trial evaluating stress urinary incontinence (SUI) treatment based on the Patient Global Impression of Improvement score after 4 weeks using a continence pessary (CP) or a disposable intravaginal continence device (DICD). The null hypothesis is no difference in treatment success between cohorts.<h4>Methods</h4>This parallel group, ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2021, :]

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[Pessaries (mechanical devices) for the treatment of female pelvic organ prolapse].

Jennifer Kranz,

Urologe A (Der Urologe. Ausg. A)
[2021, :]

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[Complications related to pessary use in the treatment of female pelvic organ prolapse].

Rob Mooij, Tjits M Potijk, Jan A Schrickx,

Pelvic organ prolapse affects 40% of women over 40 years. Pessaries are often used as a first-line treatment and give high patient satisfaction. Complications of pessaries are rare, but vaginal erosions can lead to adhesions, haemorrhage, impaction and migration. This year we have seen an increase in pessary complications in ... Read more >>

Ned Tijdschr Geneeskd (Nederlands tijdschrift voor geneeskunde)
[2021, 165:]

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Pessaries and rectovaginal fistulae: consequences of delayed clinical follow-up in the Covid-19 pandemic.

Jordan Mendelson, Bogdan Grigorescu, Catherine Quinn, George Lazarou,

<h4>Introduction and hypothesis</h4>While 2017 guidelines from The American College of Obstetricians & Gynecologists called for pessary replacement every 3 to 4 months, a recent study in Obstetrics and Gynecology suggested that uninterrupted pessary use up to 6 months is not an independent risk factor for development of pessary-related complications.<h4>Methods</h4>Our recent ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2021, 32(9):2353-2356]

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Pelvic organ prolapse and pessaries, an alternative to surgery.

Drew Payne,

Br J Nurs (British journal of nursing (Mark Allen Publishing))
[2021, 30(15):882-884]

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Impact of the availability of midurethral slings on treatment strategies for stress urinary incontinence: a cost-effectiveness analysis.

O H Chang, L A Cadish, A Kailasam, B M Ridgeway, J P Shepherd,

<h4>Objective</h4>To perform a cost-effectiveness analysis for the surgical and non-surgical management of stress urinary incontinence (SUI) with and without the availability of midurethral sling.<h4>Design</h4>Cost-effectiveness analysis.<h4>Setting</h4>USA, 2019.<h4>Population</h4>Women with stress urinary incontinence.<h4>Methods</h4>We modelled SUI treatment pathways with and without the availability of midurethral slings, including no treatment, incontinence pessary, pelvic floor muscle ... Read more >>

BJOG (BJOG : an international journal of obstetrics and gynaecology)
[2021, :]

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Chemoradiotherapy in a patient with locally advanced small cell neuroendocrine carcinoma of the cervix complicated by pelvic organ prolapse: A case report.

Luisa E Jacomina, Michelle D Garcia, Andrea C Santiago, Irene M Tagayuna, Warren R Bacorro,

<h4>Background</h4>The coexistence of cervical cancer and pelvic organ prolapse represents a rare clinical scenario. Small cell neuroendocrine histology likewise represents only 0.9-1.5% of all invasive cervical cancers. There is no consensus regarding the optimal management of patients with concomitant locally advanced cervical cancer and pelvic organ prolapse.<h4>Case summary</h4>The patient was ... Read more >>

Gynecol Oncol Rep (Gynecologic oncology reports)
[2021, 37:100832]

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Luteal phase support for in vitro fertilization/intracytoplasmic sperm injection fresh cycles: a systematic review and network meta-analysis.

Hanglin Wu, Songying Zhang, Xiaona Lin, Shasha Wang, Ping Zhou,

<h4>Background</h4>Various luteal phase supports (LPSs) have been proven to increase the pregnancy rate in fresh cycles of in vitro fertilization or intracytoplasmic sperm injection; however, there is still significant debate regarding the optimal use of LPS.<h4>Methods</h4>A systematic review with the use of a network meta-analysis was performed via electronic searching ... Read more >>

Reprod Biol Endocrinol (Reproductive biology and endocrinology : RB&E)
[2021, 19(1):103]

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Adapting to Challenging Circumstances: Pessary Care in a Racially Diverse Urban Population Within a U.S. Epicenter of the COVID-19 Pandemic.

Priyanka Kadam Halani, Eden Gelman, Yvette Duchein, Nicole Roselli, Ava Leegant,

<h4>Objectives</h4>The aim of the study was to describe time intervals between pessary maintenance visits in racially diverse women receiving care in a U.S. epicenter of the COVID-19 pandemic. We secondarily aimed to determine whether time interval between pessary changes is associated with adverse outcomes and to identify factors associated with ... Read more >>

Female Pelvic Med Reconstr Surg (Female pelvic medicine & reconstructive surgery)
[2021, :]

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Timing of Office-Based Pessary Care: A Randomized Controlled Trial: Correction.

Obstet Gynecol (Obstetrics and gynecology)
[2021, 138(2):313]

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Position and orientation of vaginal pessaries in situ on magnetic resonance imaging.

Christopher X Hong, Elana Meer, Max Cioban, David J Tischfield, Daisy B Hassani, Heidi S Harvie,

<h4>Introduction and hypothesis</h4>We hypothesize that there are differences in the position and orientation of ring and Gellhorn pessaries in situ on magnetic resonance imaging (MRI).<h4>Methods</h4>This was a retrospective cohort study comparing MRI findings in 25 women with pessaries in situ at the time of imaging. Scanner coordinates for anatomic and ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2021, :]

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Letter to the editor: The extended pessary interval for care (EPIC) study: a failed randomized clinical trial.

Fatemeh Azarkish, Roksana Janghorban,

Int Urogynecol J (International urogynecology journal)
[2021, 32(8):2305]

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Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study.

Patricia B Neumann, Nada Radi, Tamara Lynn Gerdis, Clee Tonkin, Chenaye Wright, K Jane Chalmers, Irena Nurkic,

<h4>Introduction and hypothesis</h4>Vaginal support pessaries are intravaginal devices designed to relieve symptoms of pelvic organ prolapse, but they can cause serious medical complications if not managed well. Physiotherapists are well placed to manage pessaries, but there are no guidelines on the training required for competency in pessary management (PM).<h4>Methods</h4>A scoping ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2021, :]

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Intrapartum stillbirth for sepsis complicating Arabin cervical pessary placement in a twin pregnancy.

Francesca Monari, Cristina Salerno, Francesco Torcetta, Gaia Po', Fabio Facchinetti,

There is little evidence regarding the best treatment in case of dilated cervix and exposed membranes in twins. Current options for its management include vaginal progesterone, cervical cerclage and cervical pessary, but none of them had shown effectiveness compared to expectant management. We presented a case of twin pregnancy at ... Read more >>

Minerva Obstet Gynecol (Minerva obstetrics and gynecology)
[2021, 73(3):384-387]

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Can we predict continued pessary use as primary treatment in women with symptomatic pelvic organ prolapse (POP)? A prospective cohort study.

Susanne Thys, Robert Hakvoort, Alfredo Milani, Jan Paul Roovers, Astrid Vollebregt,

<h4>Introduction and hypothesis</h4>The objective of this study was creating a prediction model for continued pessary use in patients with symptomatic pelvic organ prolapse (POP) and evaluating the percentage of continued pessary use after 12 months.<h4>Methods</h4>We performed a prospective cohort study in patients with symptomatic POP stage ≥ 2. All patients received ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2021, 32(8):2159-2167]

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Interventions to prevent preterm delivery in twin-twin transfusion with short cervix.

C Buskmiller, E P Bergh, C Brock, J Miller, A Baschat, H Galan, N Behrendt, M Habli, J L Piero, S Snowise, J Fisher, C Macpherson, E Thom, C Pedroza, A Johnson, S Blackwell, R Papanna,

<h4>Objective</h4>Pre-operative short cervical length (CL) remains a major risk factor for preterm birth after laser surgery for twin-twin transfusion syndrome (TTTS). Interventions to prolong pregnancy remain elusive. The objective of this study is to compare secondary preventive methods used in the setting of short CL at the time of laser ... Read more >>

Ultrasound Obstet Gynecol (Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology)
[2021, :]

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Prediction of Spontaneous Preterm Birth in At-risk Women Using Thrombospondin 1 from Cervicovaginal Fluid: A Prospective Observational Study Thrombospondin 1 im Zervikovaginalsekret als Prädiktor einer spontanen Frühgeburt bei Frauen mit erhöhtem Risiko: eine prospektive Observationsstudie

Johannes Stubert, Kathleen Gründler, Bernd Gerber, Dagmar-Ulrike Richter, Max Dieterich,

Introduction Thrombospondin 1, desmoplakin and stratifin are putative biomarkers for the prediction of preterm birth. This study aimed to validate the predictive capability of these biomarkers in patients at risk of preterm birth. Materials and Methods We included 109 women with symptoms of threatened spontaneous preterm birth between weeks 20 0/7 and ... Read more >>

Geburtshilfe Frauenheilkd (Geburtshilfe und Frauenheilkunde)
[2021, 81(9):1055-1064]

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Use of the Arabin pessary in women at high risk for preterm birth: long-term experience at a single tertiary center in Malaysia.

Rahana Abd Rahman, Ixora Kamisan Atan, Anizah Ali, Aida Mohd Kalok, Nor Azlin Mohamed Ismail, Zaleha Abdullah Mahdy, Shuhaila Ahmad,

<h4>Background</h4>Spontaneous preterm birth is a global issue that contributed to perinatal morbidities and mortalities worldwide. The study aimed to describe the experience at UKM Medical Center in managing women at high risk for spontaneous preterm birth using the Arabin pessary.<h4>Methods</h4>This is a retrospective observational study involving 58 pregnancies from 1st ... Read more >>

BMC Pregnancy Childbirth (BMC pregnancy and childbirth)
[2021, 21(1):368]

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A tailored flexible vaginal pessary treatment for pelvic organ prolapse in older women.

Ronen S Gold, Yoav Baruch, Hadar Amir, David Gordon, Asnat Groutz,

<h4>Objectives</h4>To present a flexible protocol of vaginal pessaries for older women with significant pelvic organ prolapse (POP).<h4>Design</h4>A prospective cohort study of 140 consecutive older women (aged ≥65 years) with significant POP treated with individually fitted vaginal pessaries. After initial insertion, each patient was invited for a first evaluation after 1 month and ... Read more >>

J Am Geriatr Soc (Journal of the American Geriatrics Society)
[2021, 69(9):2518-2523]

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Vaginal Pessaries for Pelvic Organ Prolapse or Stress Urinary Incontinence: A Health Technology Assessment.

,

<h4>Background</h4>Pelvic organ prolapse (POP) is the downward descent of the female pelvic organs into or through the vagina. The symptom that most strongly correlates with and is most specific for POP is a feeling of vaginal bulging. Stress urinary incontinence (SUI) is an involuntary loss of urine upon physical exertion ... Read more >>

Ont Health Technol Assess Ser (Ontario health technology assessment series)
[2021, 21(3):1-155]

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Offering women a choice in induction of labour in case of an unfavorable cervix: a prospective cohort study

Ninon Dupuis, Lola Loussert, Pauline de Vries, Olivier Parant, Christophe Vayssiere, Paul Guerby,

<h4>Objective: </h4> To evaluate women’s choice in the method of labour induction between oral misoprostol, PGE2 pessary and the Foley catheter. To compare women’s satisfaction according to their choice and to identify factors associated with patient satisfaction. <h4>Design:</h4> Prospective cohort study. <h4>Setting:</h4> Tertiary hospital in Toulouse, France, from July 2019 ... Read more >>

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Successful cervical cerclage in a dichorionic diamniotic twin pregnancy: A case report.

Gajana Jeyaram, Amanda Henry,

A 26-year-old primigravid woman presented with a dichorionic diamniotic twin pregnancy after 7 years of infertility. No formal ultrasound was performed until a morphology check at 19 weeks and 4 days of gestation, at which time a shortened cervix was identified. The patient was already on vaginal progesterone pessaries from ... Read more >>

Case Rep Womens Health (Case reports in women's health)
[2021, 31:e00324]

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