title: Female pelvic organ prolapse using pessaries: systematic review.
abstract: OBJECTIVE
  The purpose of this systematic review is to assess the impact of pessary use on the quality of life of women with pelvic organ prolapse, and to determine the satisfaction rate and rationale for discontinuation.
  
  
  METHODS
  This review is recorded in the PROSPERO database under number CRD42015023384. The criteria for inclusion were observational study; cross section; cohort study; randomized controlled trial; study published in English, Portuguese, and Spanish; and study whose participants are women with female pelvic organ prolapse treated using a pessary. We did not include limitations on the year of publication. The criteria for exclusion included studies that did not include the topic, bibliographic or systematic reviews and articles that did not use validated questionnaires. The MeSH terms were "Pelvic Organ Prolapse AND Pessaries AND Quality of Life" OR "Pessary AND Quality of Life" OR "Pessaries".
  
  
  RESULTS
  We found 89 articles. After the final analyses, seven articles were included. All articles associated pessary use with improved quality of life, and all used only validated questionnaires. Over half of the women continued using the pessary during the follow-up with acceptable levels of satisfaction. The main rationales for discontinuation were discomfort, pain in the area, and expulsion of the device.
  
  
  CONCLUSIONS
  This systematic review demonstrates that the pessary can produce a positive effect on women's quality of life and can significantly improve sexual function and body perception.
authors.affiliation: School of Medicine, University of Campinas (UNICAMP), Campinas, Brazil.
authors.forename: Suelene Costa
authors.initials: SC
authors.lastname: de Albuquerque Coelho
authors.affiliation: School of Medicine, University of Campinas (UNICAMP), Campinas, Brazil.
authors.forename: Edilson Benedito
authors.initials: EB
authors.lastname: de Castro
authors.affiliation: Department of Gynecology and Obstetrics, University of Campinas (UNICAMP), Rua Alexander Fleming, 101, Cidade Universitária Zeferino Vaz, Campinas, São Paulo, Brazil, 13083-881. cassia.raquel@gmail.com.
authors.forename: Cássia Raquel Teatin
authors.initials: CR
authors.lastname: Juliato
mesh_terms: D005260:Female; D006801:Humans; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D056887:Pelvic Organ Prolapse / Q000628:therapy*; D010570:Pessaries; D011788:Quality of Life
keywords: Pelvic organ prolapse; Pessaries; Quality of life; Questionnaires; Sexual function