title: Effectiveness of a new self-positioning pessary for the management of urinary incontinence in women.
abstract: OBJECTIVE
  The objective of the study was to evaluate the effectiveness of a new self-positioning women's incontinence pessary.
  
  
  METHODS
  Thirty-two women were enrolled and followed up for 12 months. Evaluation included baseline questionnaires, physical examination including pelvic organ prolapse quantification (POP-Q) scores, cotton swab testing, and assessment of Kegel strength. A pad test and 7 day urolog were also performed before and after pessary fitting.
  
  
  RESULTS
  Incontinence questionnaire scores were all significantly reduced as percent of baseline: stress incontinence, 7 of 15 (47%) (P = .000); urge incontinence, 5 of 14 (36%) (P = .002); the urogenital distress inventory (short form); 2 of 6 (33%) (P = .002); and incontinence impact questionnaire (short form), 4 of 8 (50%) (P = .002). Leaking episodes decreased by 4 (7 day urolog) (P = .028) and pad weights by 11 g (P = .006). Among women successfully fitted at 2 weeks, 16 of 21 or 76% continued using their pessary at 1 year. There were no complications with pessary use.
  
  
  CONCLUSIONS
  The Uresta incontinence pessary significantly reduces urinary incontinence and is easy for women to use.
authors.affiliation: Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Farrell
authors.forename: Sandra
authors.initials: S
authors.lastname: Baydock
authors.forename: Baharak
authors.initials: B
authors.lastname: Amir
authors.forename: Cora
authors.initials: C
authors.lastname: Fanning
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D010570:Pessaries; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000628:therapy*