Vaginal Support Pessaries

Indications for Use and Fitting Strategies

Shanna Atnip and Katharine O'Dell

Disclosures

Urol Nurs. 2012;32(3):114-125. 

In This Article

Suggestions for Future Research

Although the evidence base for pessary use has been building in recent years, much of practice continues to be based predominantly on expert-opinion. Practicing providers may fill some of these gaps through their own observations and inventiveness, as well as in formal clinical trials in their own practice. Nurses involved in pessary care may be interested in studying ways to improve patient satisfaction and experience. Questions may include looking at changes in sexual function; testing appropriate pre-trial, goal-setting models; comparing methods of providing information about pessary options for individuals and lay groups; and evaluating symptom relief when pessaries are used in conjunction with other modalities, such as anti-cholinergic medications or urethral bulking agents. Expert opinion regarding indications for specific pessary types should be tested in additional crossover or head-to-head clinical pessary trials. Cost analyses related to different aspects of pessary use are needed. For example, comparison of costs of pessary use over time versus surgery, and analysis of potential savings from morbidity prevention may be useful both to inform individuals making treatment choices and public policy related to reimbursement.

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