International Urogynecology Journal

, Volume 24, Issue 6, pp 939–946

The pessary process: Spanish-speaking Latinas’ experience

  • Claudia Sevilla
  • Cecilia K. Wieslander
  • Alexandriah Alas
  • Gena Dunivan
  • Aqsa Khan
  • Sally Maliski
  • Rebecca Rogers
  • Jennifer T. Anger
Original Article

DOI: 10.1007/s00192-012-1946-1

Cite this article as:
Sevilla, C., Wieslander, C.K., Alas, A. et al. Int Urogynecol J (2013) 24: 939. doi:10.1007/s00192-012-1946-1

Abstract

Introduction and hypothesis

Little is known about women’s experience with conservative management of pelvic organ prolapse. We sought to understand the experiences of Spanish-speaking women who choose a pessary.

Methods

Spanish-speaking women from a urogynecological pessary clinic were recruited for this study. Interviews were conducted and the women were asked about their pessary experience including questions involving symptom relief, pessary management, and quality of life. All interview transcripts were analyzed using the qualitative methods of grounded theory.

Results

Sixteen Spanish-speaking women who had been using a pessary for at least 1 month were enrolled in this study. Grounded theory methodology yielded several preliminary themes, in which one major concept emerged as a pessary adjustment process. In this process patients had to first decide to use a pessary, either because of physician’s recommendations or out of personal choice. Second, the patients entered an adjustment period in which they learned to adapt to the pessary, both physically and mentally. Lastly, if the patients properly adjusted to wearing a pessary they experienced relief of bothersome symptoms.

Conclusions

Our findings demonstrate that Spanish-speaking women go through a process in order to adjust to a pessary. Furthermore, the physician plays a major role in not only determining a woman’s decision to use a pessary, but also whether she can adjust to wearing the pessary. This process is most successful when patients receive comprehensive management from a healthcare team of physicians and nurses who can provide individualized and continuous pessary care.

Keywords

Latina Pelvic organ prolapse Pessary Spanish-speaking 

Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Claudia Sevilla
    • 1
  • Cecilia K. Wieslander
    • 2
  • Alexandriah Alas
    • 3
  • Gena Dunivan
    • 5
  • Aqsa Khan
    • 1
  • Sally Maliski
    • 4
  • Rebecca Rogers
    • 5
  • Jennifer T. Anger
    • 6
    • 7
  1. 1.Department of UrologyUCLA David Geffen School of MedicineLos AngelesUSA
  2. 2.Department Obstetrics and GynecologyOlive View-UCLA Medical CenterSylmarUSA
  3. 3.Department of Obstetrics and GynecologyCedars-Sinai Medical CenterLos AngelesUSA
  4. 4.UCLA School of NursingLos AngelesUSA
  5. 5.Department of Obstetrics and Gynecology and Department of SurgeryUniversity of New Mexico Health Sciences CenterAlbuquerqueUSA
  6. 6.Department of UrologyCedars-Sinai Medical CenterLos AngelesUSA
  7. 7.Department of SurgeryCedars-Sinai Medical CenterBeverly HillsUSA

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