{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:15:31Z","timestamp":1786979731161,"version":"build-2736575974"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Odense University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and hypothesis<\/jats:title>\n                    <jats:p>The objective was to investigate the adherence to pessary treatment in women with pelvic organ prolapse (POP) who were found eligible for this treatment by the urogynecologist, at the first visit at the Department of Gynecology and Obstetrics, Odense University Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were extracted from the women\u2019s medical records. Frequency tabulations were performed to describe the women\u2019s reasons for pessary discontinuation by age group. Binominal logistic regression analysis was conducted to investigate how women\u2019s age, POP characteristics, urogynecological history, and their pessary experience and management were associated with continued pessary use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 1,371 women treated with support pessary. Of these, 850 women continued pessary treatment and 521 women underwent surgical treatment. A history of hysterectomy (OR: 0.68, 95% CI: 0.51\u20130.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008), urinary incontinence (OR: 0.71, 95% CI: 0.56\u20130.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), and previous pessary use (OR: 0.75, 95% CI: 0.56\u20130.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047) were significant factors associated with discontinuation. Further, women aged 81\u201399\u00a0years were significantly more likely to continue pessary treatment (OR: 1.77, 95% CI: 1.15\u20132.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). \u201cPOP surgery,\u201d \u201cprolapse stage,\u201d and \u201cprolapse predominant compartment\u201d were not associated with discontinuation. Approximately 38% of women aged 26\u201354\u00a0years discontinued owing to personal preference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hysterectomy, incontinence, and previous pessary use are significant predictors of pessary discontinuation. Increasing age is significantly associated with pessary continuation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-023-05616-z","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T05:02:16Z","timestamp":1691384536000},"page":"69-75","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Adherence to support pessary in the treatment of pelvic organ prolapse: a retrospective study conducted among 1,371 women"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1798-5963","authenticated-orcid":false,"given":"Cecilie Helstrup","family":"Brandt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahsa","family":"Yamolaei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunsen","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulla D.","family":"Hansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vibeke","family":"Rasch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"issue":"6","key":"5616_CR1","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1067\/mob.2002.123819","volume":"186","author":"SL Hendrix","year":"2002","unstructured":"Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. 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