Journal
INTERNATIONAL UROGYNECOLOGY JOURNAL
Volume 20, Issue 9, Pages 1023-1028Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s00192-009-0866-1
Keywords
Incontinence ring; Incontinence dish; Pessary; Stress urinary incontinence
Categories
Funding
- NICHD NIH HHS [U10 HD054214, U01 HD041249, U10 HD041261, U10 HD54215, U10 HD41261, U10 HD041267, U10 HD054136, U10 HD054241, U10 HD041250, U10 HD54241, U10 HD54136, U10 HD41250, U10 HD54214, U01 HD41249, U10 HD41267, U10 HD054215] Funding Source: Medline
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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. In a multicenter study, women with stress urinary incontinence (SUI) and POPQ stage a parts per thousand currency sign2 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. 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). 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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