Pessary Experience Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorUniversity of Virginia

About this trial

Pessaries are silicone devices inserted into the vagina for treatment of pelvic organ prolapse or stress urinary incontinence. They are adequate treatment options for patients who are poor surgical candidates, those who decline surgical intervention, or as a temporizing measure in those ultimately planning surgery. Most studies suggest that about 75% of patients are able to be successfully fit with a pessary, but about 50% discontinue pessary use within 12 months of initiation. The purpose of this study is to determine why pessaries are discontinued.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

English-speaking women aged 18 years or older

Choosing to undergo a pessary fitting for symptomatic pelvic organ prolapse and/or stress urinary incontinence at the University of Virginia Pelvic Medicine and Reconstructive Surgery clinic

Willingness and ability to comply with scheduled visits and study procedures.

Successful pessary fitting

Disqualifiers

Pregnant women

Prisoners

Cognitively impaired

Non-English speaking subjects

Trial population

Women in the area surrounding the University of Virginia who have stress urinary incontinences or pelvic organ prolapse.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Observational only

    Other intervention

    No intervention

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Women being fitted with pessaries1 intervention

Trial outcomes

Primary outcomes

1

Qualitative analysis

Perform a patient-centered, qualitative analysis of pessary discontinuation

Time frame
up to 1 year after pessary fitting
2

Pelvic Floor symptom improvement as related to quality of life

Assess changes in pelvic floor symptoms and quality of life before and after pessary use as measured by validated questionnaires

Time frame
up to 1 year after pessary fitting
3

Discontinuation of pessaries

Rates of discontinuation at 1 year

Time frame
up to 1 year after pessary fitting
4

Why do women discontinue using pessaries?

Factors significantly associated with discontinuation

Time frame
up to 1 year after pessary fitting

Secondary outcomes

Other outcomes

Sponsors and contacts

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