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Am J Obstet Gynecol. 2007 May;196(5):474.e1-8.

Effectiveness of a new self-positioning pessary for the management of urinary incontinence in women.

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  • 1Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.

Abstract

OBJECTIVE:

The objective of the study was to evaluate the effectiveness of a new self-positioning women's incontinence pessary.

STUDY DESIGN:

Thirty-two women were enrolled and followed up for 12 months. Evaluation included baseline questionnaires, physical examination including pelvic organ prolapse quantification (POP-Q) scores, cotton swab testing, and assessment of Kegel strength. A pad test and 7 day urolog were also performed before and after pessary fitting.

RESULTS:

Incontinence questionnaire scores were all significantly reduced as percent of baseline: stress incontinence, 7 of 15 (47%) (P = .000); urge incontinence, 5 of 14 (36%) (P = .002); the urogenital distress inventory (short form); 2 of 6 (33%) (P = .002); and incontinence impact questionnaire (short form), 4 of 8 (50%) (P = .002). Leaking episodes decreased by 4 (7 day urolog) (P = .028) and pad weights by 11 g (P = .006). Among women successfully fitted at 2 weeks, 16 of 21 or 76% continued using their pessary at 1 year. There were no complications with pessary use.

CONCLUSION:

The Uresta incontinence pessary significantly reduces urinary incontinence and is easy for women to use.

PMID:
17466709
[PubMed - indexed for MEDLINE]
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