American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 499.e1-499.e4 , May 2010

Impact of pessary use on prolapse symptoms, quality of life, and body image

Presented at the 30th Annual Scientific Meeting of the American Urogynecologic Society, Hollywood, FL, Sept. 24-26, 2009.

  • Minita Patel, MD

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT
  • ,
  • Colleen Mellen, APRN

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT
  • ,
  • David M. O'Sullivan, PhD

      Affiliations

    • Department of Research Administration, Hartford Hospital, Hartford, CT
  • ,
  • Christine A. LaSala, MD

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT

Received 8 July 2009 ,Revised 21 October 2009 ,Accepted 11 January 2010.

References 

  1. Cundiff GW, Weidner AC, Visco AG, Bump RC, Addison WA. A survey of pessary use by members of the American Urogynecologic Society. Obstet Gynecol. 2000;95:931–935
  2. Komesu YM, Rogers RG, Rode RG, et al. Pelvic floor symptom changes in pessary users. Am J Obstet Gynecol. 2007;197:620.e1–620.e6
  3. Clemons JL, Aguilar VC, Tillinghast TA, Jackson ND, Myers DL. Patient satisfaction and changes in prolapse and urinary symptoms in women who were fitted successfully with a pessary for pelvic organ prolapse. Am J Obstet Gynecol. 2004;190:1025–1029
  4. Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194:1455–1461
  5. Bolton MA, Pruzinsky T, Cash TF, Persing JA. Measuring outcomes in plastic surgery: body image and quality of life in abdominoplasty patients. Plast Reconstr Surg. 2003;112:619–625
  6. Lowder JL, Ghetti C, Zyczynski HM, Weber A. The impact of reconstructive pelvic surgery for prolapse on body image: abstract presented at the annual American Urogynecology Society 2007 meeting. J Pelvic Med Surg. 2007;13:244
  7. Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17
  8. Hopwood P, Fletcher I, Lee A, Ghazal SA. A body image scale for use with cancer patients. Eur J Cancer. 2001;37:189–197
  9. Stead ML, Fountain J, Napp V, Garry R, Brown JM. Psychometric properties of the body image scale in women with benign gynecological conditions. Eur J Obstet Gynecol Reprod Biol. 2004;114:215–220
  10. Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185:1388–1395
  11. Bai SW, Yoon BS, Kwon JY, Shin JS, Kim SK, Park KH. Survey of the characteristics and satisfaction degree of the patients using a pessary. Int Urogynecol J. 2005;16:182–186
  12. Barber MD, Amundsen CL, Parasio MFR, Weidner AC, Romero A, Walters MD. Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery. Int Urogynecol J. 2007;18:799–806
  13. Fernando RJ, Thakar R, Sultan AH, Shah SM, Jones PW. Effect of vaginal pessaries on symptoms associated with pelvic organ prolapse. Obstet Gynecol. 2006;108:93–99
  14. Barber MD, Spino C, Janz NK, et al. The minimum important differences for the urinary scales of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire. Am J Obstet Gynecol. 2009;200:580.e1–580.e7
  15. Lowenstein L, Gamble T, Deniseiko Sanses TV, et al. Sexual function is related to body image perception in women with pelvic organ prolapse. J Sex Med. 2009;7:1023–1028

 Cite this article as: Patel M, Mellen C, O'Sullivan DM, et al. Impact of pessary use on prolapse symptoms, quality of life, and body image. Am J Obstet Gynecol 2010;202:499.e1-4.

 Reprints not available from the authors.

 This study was supported by the Hartford Hospital Medical Staff and Research Program.

PII: S0002-9378(10)00030-X

doi: 10.1016/j.ajog.2010.01.019

American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 499.e1-499.e4 , May 2010