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Abstract
Self-management of vaginal pessary for pelvic organ prolapse may enable patient autonomy over when to remove and insert the pessary (for example, to remove before intercourse) and may reduce the number of clinic appointments.
Limited evidence from small observational studies suggests that self-management may improve the length of time a woman uses a pessary for, her satisfaction, and her quality of life, without increasing complication rates, but it is difficult to generalise from this evidence.
During the covid-19 pandemic, reassure women who may need a pessary change that a delay of a few months is acceptable as long as they are not experiencing any problems such as vaginal bleeding, discharge, or pain.
Limited evidence from small observational studies suggests that self-management may improve the length of time a woman uses a pessary for, her satisfaction, and her quality of life, without increasing complication rates, but it is difficult to generalise from this evidence.
During the covid-19 pandemic, reassure women who may need a pessary change that a delay of a few months is acceptable as long as they are not experiencing any problems such as vaginal bleeding, discharge, or pain.
| Original language | English |
|---|---|
| Article number | n310 |
| Number of pages | 4 |
| Journal | BMJ |
| Volume | 372 |
| DOIs | |
| Publication status | Published - 19 Feb 2021 |
Keywords
- pessary prolapse self-management
ASJC Scopus subject areas
- Medicine(all)
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Dive into the research topics of 'Does self-management of vaginal pessaries improve care for women with pelvic organ prolapse?'. Together they form a unique fingerprint.Research output
- 6 Citations
- 2 Article
-
Clinical and cost‐effectiveness of vaginal pessary self‐management compared to clinic based care for pelvic organ prolapse: protocol for the TOPSY randomised controlled trial
Hagen, S., Kearney, R., Goodman, K., Melone, L., Elders, A., Manoukian, S., Agur, W., Best, C., Breeman, S., Dembinsky, M., Dwyer, L., Forrest, M., Graham, M., Guerrero, K., Hemming, C., Khunda, A., Mason, H., McClurg, D., Norrie, J., Karachalia Sandri, A., & 2 others, 8 Oct 2020, In: Trials. 21, 13 p., 837.Research output: Contribution to journal › Article › peer-review
Open AccessFile5 Citations (Scopus)46 Downloads (Pure) -
The TOPSY pessary self-management intervention for pelvic organ prolapse: a study protocol for the process evaluation
Bugge, C., Kearney, R., Dembinsky, M., Khunda, A., Graham, M., Agur, W., Breeman, S., Dwyer, L., Elders, A., Forrest, M., Goodman, K., Guerrero, K., Hemming, C., Mason, H., McClurg, D., Melone, L., Norrie, J., Thakar, R. & Hagen, S., 8 Oct 2020, In: Trials. 21, 9 p., 836 (2020).Research output: Contribution to journal › Article › peer-review
Open AccessFile1 Citation (Scopus)36 Downloads (Pure)