{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T02:59:54Z","timestamp":1779159594108,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>One of the treatment options in pelvic organ prolapse (POP) is vaginal pessary therapy. For a well\u2010informed decision, different aspects of the treatment option, including sustainable long\u2010term outcomes, need to be discussed with the patient. However, long\u2010term quality of life and psychological wellbeing of pessary use is unknown. This study explores the factors contributing to long\u2010term pessary use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed\u2010methods study was performed among patients with vaginal pessary use for at least 5\u2009years. The quantitative part consisted of online, validated questionnaires on satisfaction with care (Patient Satisfaction Questionnaire Short Form [PSQ\u201018]), shared decision\u2010making (Shared Decision Making Questionnaire [SDM\u2010Q\u20109]) and decisional regret (Decision Regret Scale [DRS]). Health\u2010related quality of life and pelvic floor complaints were measured by the Pelvic Floor Disability Index (PFDI\u201020), Pelvic Floor Impact Questionnaire (PFIQ\u20107), Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire (PISQ\u201012), and the EuroQol EQ\u20105D\u20105L questionnaire. The qualitative part comprised semi\u2010structured interviews according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) analyzed with grounded theory analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all, 35 patients filled in the questionnaires and seven were interviewed. Overall, patients indicated a good quality of life and satisfaction with the treatment. Three major themes were found in the interviews: effect of the treatment, contact with the healthcare provider, and choice in type of care. Four minor themes were psychosocial aspects, self\u2010image, established habits, and sexuality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When considering possible pessary use with a POP patient, these longterm effects of successful pessary treatment can be offered. The identified themes need to be addressed when applicable for the patient. Patients can be informed that long\u2010term pessary use is feasible and can become a habit with little burden that relieves the complaints they experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70343","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T08:11:45Z","timestamp":1751271105000},"page":"223-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors contributing to long\u2010term vaginal pessary use: A mixed\u2010methods study"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5750-1485","authenticated-orcid":false,"given":"L. E.","family":"Drost","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Erasmus Medical Centre  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Beijleveldt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Elisabeth Tweesteden Hospital  Tilburg The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. O.","family":"Oz\u00e9phius","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Elisabeth Tweesteden Hospital  Tilburg The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8801-5546","authenticated-orcid":false,"given":"A.","family":"Franx","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Erasmus Medical Centre  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1612-0395","authenticated-orcid":false,"given":"M. C.","family":"Vos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Elisabeth Tweesteden Hospital  Tilburg The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.08.070"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04875-y"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04997-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001489"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02380.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24837"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-023-07299-9"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2023.107828"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-023-05472-x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05095.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132158"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_10_15_1","volume-title":"The Patient Satisfaction Questionnaire Short\u2010Form (PSQ\u201018)","author":"Marshall GN","year":"1994"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X03256005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2016.01.003"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2263-z"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2692-y"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.22385"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1390-7"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004931"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102326"},{"key":"e_1_2_10_24_1","first-page":"1797","article-title":"The role of self\u2010management in Pessary therapy for pelvic organ prolapse\u2010a retrospective cohort study","volume":"35","author":"Paulussen E","year":"2024","journal-title":"Int Urogynecol J"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13010185"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-019-0555-4"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12070"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.13060"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2021.11.008"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2019.06.002"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:41:56Z","timestamp":1771314116000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ijgo.70343"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70343","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]},"assertion":[{"value":"2024-09-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}