Please use this identifier to cite or link to this item:
Appears in Collections:Faculty of Health Sciences and Sport Cochrane Reviews
Peer Review Status: Refereed
Title: Pessaries (mechanical devices) for pelvic organ prolapse in women
Authors: Bugge, Carol
Adams, Elizabeth
Gopinath, Deepa
Reid, Fiona
Contact Email:
Citation: Bugge C, Adams E, Gopinath D & Reid F (2013) Pessaries (mechanical devices) for pelvic organ prolapse in women, Cochrane Database of Systematic Reviews (2), Art. No.: CD004010.
Issue Date: 2013
Publisher: Wiley-Blackwell for the Cochrane Collaboration
Abstract: BACKGROUND Pelvic organ prolapse is common, with some degree of prolapse seen in up to 50% of parous women in a clinic setting, although many are asymptomatic. The use of pessaries (a passive mechanical device designed to support the vagina) to treat prolapse is very common, and up to 77% of clinicians use pessaries for the first line management of prolapse. A number of symptoms may be associated with prolapse and treatments include surgery, pessaries and conservative therapies. A variety of pessaries are described which aim to alleviate the symptoms of prolapse and avert or delay the need for surgery. OBJECTIVES To determine the effectiveness of pessaries (mechanical devices) for pelvic organ prolapse. SEARCH METHODS We searched the Cochrane Incontinence Group Specialised Register of trials (searched 13 March 2012), which includes searches of CENTRAL, MEDLINE, PREMEDLINE and handsearching of conference proceedings, and handsearched the abstracts of two relevant conferences held in 2011. We also searched the reference lists of relevant articles. SELECTION CRITERIA Randomised and quasi-randomised controlled trials which included a pessary for pelvic organ prolapse in one arm of the study. DATA COLLECTION AND ANALYSIS Abstracts were assessed independently by two authors with arbitration from a third if necessary. Data extraction was completed independently for included studies by two review authors. MAIN RESULTS To date there is only one published randomised controlled trial assessing the use of pessaries in the treatment of pelvic organ prolapse. AUTHORS' CONCLUSIONS The review authors identified one randomised controlled trial comparing ring and Gellhorn pessaries. The results of the trial showed that both pessaries were effective for the approximately 60% of women who completed the study with no significant differences identified between the two types of pessary. However, methodological flaws were noted in the trial, as elaborated under risk of bias assessment. There is no consensus on the use of different types of device, the indications nor the pattern of replacement and follow-up care. There is an urgent need for randomised studies to address the use of pessaries in comparison with no treatment, surgery and conservative measures.
Article no.: CD004010
Type: Cochrane Review
Affiliation: HS Research - Stirling
Liverpool Women's Hospital
Central Manchester University Hospitals NHS Trust
St Mary's Hospital

Files in This Item:
File Description SizeFormat 
CD004010.pdf289.03 kBAdobe PDFView/Open

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.