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Pessaries in Clinical Practice pp 17–24Cite as

Pessairies for the Management of Urinary Incontinence: The Evidence

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Abstract

Stress urinary incontinence is a very prevalent condition. It is caused by a failure of the urethral sphincter mechanism. Continence pessaries are designed to correct the problem with the sphincter mechanism by restoring proper support to the urethra. This chapter discusses the following issues:

  1. 1.

    The prevalence of urinary incontinence

  2. 2.

    The causes of stress incontinence

  3. 3.

    The evidence for the effectiveness of continence pessaries

  4. 4.

    Factors that predict successful use of a continence pessary

  5. 5.

    Factors affecting patient satisfaction and continuation of pessary use

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References

  1. Palmer MH. Incontinence: the magnitude of the problem. Nurs Clin North Am 1998;23:139–157.

    Google Scholar 

  2. Diokno AC, Brock BM, Brown MB, et al. Prevalence of urinary incontinence and other urologic symptoms in non-institutionalized elderly.J Urol 1986;136:1022–1025.

    CAS  PubMed  Google Scholar 

  3. Hørding U, Pedersen K, Sidenuis K, et al. Urinary incontinence in 45 year old women. Scand J Urol Nephrol 1986;20:183–186.

    Article  PubMed  Google Scholar 

  4. Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. Br J Urol 2004; 93:324–330.

    Article  CAS  Google Scholar 

  5. Wilson L, Brown JS, Shin GP, Luc KO, Subak LL. Annual direct cost of urinary incontinence. Obstet Gynecol 2001;98:398–406.

    CAS  PubMed  Google Scholar 

  6. Hu TW, Wagner TH, Bentkover JD, Leblanc K, Zhou SZ, Hunt T. Costs of urinary incontinence and overactive bladder in the United States: a comparative study. Urology 2004;63:461–465.

    Article  PubMed  Google Scholar 

  7. Summi HRL, Bent AE. Genuine stress incontinence: an overview. In: Ostergard DR, Bent AE, eds. Urogynecology and Urodynamics: Theory and Practice, 3rd ed. Baltimore: Williams and Wilkins. 1991;393–403.

    Google Scholar 

  8. Drutz H, Farrell SA, Mainprize, TC. Guidelines for the evaluation of genuine stress incontinence prior to primary surgery. J Soc Obstet Gynecol Can 1997;19:633–639.

    Google Scholar 

  9. Fraser M, Lose G, Kozman E, Boos K, Tincello D. Mechanical devices for urinary incontinence in women (Protocol for Cochrane Review). The Cochrane Library, Issue 2, 2003. Oxford: Update Software.

    Google Scholar 

  10. Adams E, Thomson A, Maher C, Hagen S. Mechanical devices for pelvic organ prolapse in women (review). The Cochrane Library, Issue 1, 2004. Oxford: Update Software.

    Google Scholar 

  11. Robert M, Mainprize TC. Long term assessment of the incontinence ring pessary for the treatment of stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2002;13(5):326–329.

    Article  CAS  PubMed  Google Scholar 

  12. Donnelly MJ, Powell-Morgan S, Olsen AL, Nygaard IE. Vaginal pessaries for the management of stress and mixed urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2004;15(5):302–307.

    PubMed  Google Scholar 

  13. Farrell SA, Singh B, Aldakhil L. Continence pessaries in the management of urinary incontinence in women. J Obstet Gynecol Can 2004;26(2):113–117.

    Google Scholar 

  14. Clemens JL, Aguilar VC, Tillinghast TA, Jackson ND, Myers DL. Patient satisfaction and changes in prolapse and urinary symptoms in women who are fitted successfully with a pessary for pelvic organ prolapse. Am J Obstet Gynecol 2004;190(4):1025–1029.

    Article  Google Scholar 

  15. Bhatia NN, Bergman A, Gunning JE. Urodynamic effect of a vaginal pessary in women with stress urinary incontinence. Am J Obstet Gynecol 1983;147:876–884.

    Article  CAS  PubMed  Google Scholar 

  16. Morris AR, Moore KH. The Contiform incontinence device-efficacy and patient acceptability. Int Urogynecol J Pelvic Floor Dysfunct 2003;14(6):412–417.

    Article  CAS  PubMed  Google Scholar 

  17. Baydock S, Farrell SA. Effectiveness of uresta self-fitting continence pessary set for women. J Obstet Gynaecol Can 2004;26:S36.

    Google Scholar 

  18. Farrell SA. A triage approach to the investigation and management of urinary incontinence. J Soc Obstet Gynecol Can 1998;20:1153–1158.

    Google Scholar 

  19. Black N, Griffiths J, Pope C, Bowling A, Abel P. Impact of surgery for stress incontinence on morbidity: a cohort study. BMJ 1997;315: 1493–1498.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Bo K, Kvarstein B, Nygaard I. Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet Gynecol 2005;105:999–1005.

    Article  PubMed  Google Scholar 

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Authors
  1. Baharak Amir-Khalkhali
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Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, Dalhouise University, Halifax, Nova Scotia, Canada

    Scott A. Farell BA, BEd, MD, FRCSC (Professor) (Professor)

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© 2006 Springer-Verlag London Limited

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Amir-Khalkhali, B. (2006). Pessairies for the Management of Urinary Incontinence: The Evidence. In: Farell, S.A. (eds) Pessaries in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84628-315-4_3

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  • DOI: https://doi.org/10.1007/978-1-84628-315-4_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-163-1

  • Online ISBN: 978-1-84628-315-4

  • eBook Packages: MedicineMedicine (R0)

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