Urinary Incontinence Evaluation and the Utility of Pessaries in Older Women

Roehl, Barbara; Buchanan, Edward M.

doi:10.1891/cmj-v7i4a007

Cited by 4 publications

(2 citation statements)

References 14 publications

(13 reference statements)

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“… 32 , 33 From this position, an incontinence pessary supports the urethrovesical junction in the same way a vaginal sling implanted surgically would. 34 …”

Section: Treatment Optionsmentioning

confidence: 99%

Pessary use in stress urinary incontinence: a review of advantages, complications, patient satisfaction, and quality of life

Al‐Shaikh¹,

Syed²,

Osman³

et al. 2018

IJWH

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Stress urinary incontinnce (SUI) is a common condition among women. The usual approach to treatment of SUI is a stepwise plan from conservative to surgical procedures. A vaginal pessary is one of the commonly used conservative treatments that offer symptomatic improvement for women with incontinence. This review provides a critical analysis of the benefits and shortcomings offered by vaginal pessaries to patients affected by SUI, with a particular focus on indications, advantages, quality of life, patient satisfaction, and potential complications. To obtain the required information, an extensive search of PubMed and Cochrane databases was performed, covering the time frame from January 2000 to December 2016. We also surveyed the published guidelines of American Urological Association, Canadian Urological Association, American Urogynecological Society, National Institutes of Health (USA), and National Institute for Health and Care Excellence (UK). A total of 192 original research papers, review articles, and clinical trials were identified. The analysis of retrieved data provides evidence that vaginal pessaries constitute an effective nonsurgical option for SUI. The satisfaction rate with pessary use is high and only minor complications, if any, occur, vaginal discharge being the most common. The reviewed studies document that vaginal pessaries provide an adequate control of SUI if they are fit properly and managed by frequent replacements and regular checkups. They should be considered among the first line of treatment for SUI associated with exercise and increased intra-abdominal pressure.

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“… 32 , 33 From this position, an incontinence pessary supports the urethrovesical junction in the same way a vaginal sling implanted surgically would. 34 …”

Section: Treatment Optionsmentioning

confidence: 99%

Pessary use in stress urinary incontinence: a review of advantages, complications, patient satisfaction, and quality of life

Al‐Shaikh¹,

Syed²,

Osman³

et al. 2018

IJWH

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“…Pessaries are medical devices used to treat pelvic organ prolapses by providing structural support to the uterus, vagina, bladder, and rectum [ 8 ], and are typically used in conjunction with local estrogen therapy. These devices are made in different sizes and designs that are subject to patient needs, anatomy, and physician preference [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Medication eluting devices for the field of OBGYN (MEDOBGYN): 3D printed biodegradable hormone eluting constructs, a proof of concept study

et al. 2017

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3D printing has the potential to deliver personalized implants and devices for obstetric and gynecologic applications. The aim of this study is to engineer customizable and biodegradable 3D printed implant materials that can elute estrogen and/or progesterone. All 3D constructs were printed using polycaprolactone (PCL) biodegradable polymer laden with estrogen or progesterone and were subjected to hormone-release profile studies using ELISA kits. Material thermal properties were tested using thermogravimetric analysis and differential scanning calorimetry. The 3D printed constructs showed extended hormonal release over a one week period. Cytocompatibility and bioactivity were assessed using a luciferase assay. The hormone-laden 3D printed constructs demonstrated an increase in luciferase activity and without any deleterious effects. Thermal properties of the PCL and hormones showed degradation temperatures above that of the temperature used in the additive manufacturing process–suggesting that 3D printing can be achieved below the degradation temperatures of the hormones. Sample constructs in the shape of surgical meshes, subdermal rods, intrauterine devices and pessaries were designed and printed. 3D printing of estrogen and progesterone-eluting constructs was feasible in this proof of concept study. These custom designs have the potential to act as a form of personalized medicine for drug delivery and optimized fit based on patient-specific anatomy.

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Pessary Use and Management for Pelvic Organ Prolapse

Atnip

2009

Obstetrics and Gynecology Clinics of North America

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Urinary Incontinence Evaluation and the Utility of Pessaries in Older Women

Cited by 4 publications

References 14 publications

Pessary use in stress urinary incontinence: a review of advantages, complications, patient satisfaction, and quality of life

Pessary use in stress urinary incontinence: a review of advantages, complications, patient satisfaction, and quality of life

Medication eluting devices for the field of OBGYN (MEDOBGYN): 3D printed biodegradable hormone eluting constructs, a proof of concept study

Pessary Use and Management for Pelvic Organ Prolapse

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