Factors influencing long-term pessary use View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-06

AUTHORS

Sarah Friedman, Katherine S. Sandhu, Cuiling Wang, Magdy S. Mikhail, Erika Banks

ABSTRACT

INTRODUCTION AND HYPOTHESIS: We aimed to identify factors contributing to successful pessary use for over 1 year. METHODS: A chart review was conducted composed of 150 women at Montefiore Medical Center, using a pessary for over 1 year. Characteristics of those who continued pessary usage were compared with those who discontinued use by using Chi-square, Fisher's exact test, logistic regression model, receiver-operator characteristic curve, and Kaplan-Meier survival curves. RESULTS: Thirty-five women (23%) discontinued using pessaries (DP) after a year, while 115 women (77%) continued (CP). There was no difference in multiple characteristics. The DP group had more patients with stress incontinence, p = 0.17. Older age at pessary insertion showed higher continued use (OR = 1.083, CI: 1.033-1.136). Patients with a history of prolapse repair surgery were more likely to discontinue pessary use. CONCLUSIONS: Age greater than 72 years was associated with continued pessary use and history of hysterectomy or prolapse surgery, and stress incontinence were associated with discontinuation. More... »

PAGES

673-678

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-009-1080-x

DOI

http://dx.doi.org/10.1007/s00192-009-1080-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022763890

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20062974


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