{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:42:46Z","timestamp":1792424566848,"version":"4.5.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Pessary fitting and follow-up for women with pelvic organ prolapse (POP) can be performed by different health care practitioners (HCPs). We aimed to investigate knowledge and current practices among the main HCPs involved in pessary use in France.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We sent an electronic questionnaire about pessary use to the members of eight French learned societies between April and October 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the study period, 1017 HCPs responded to the questionnaire: 712 (70.0%) were doctors, 208 (20.4%) physiotherapists, 95 (9.3%) midwives, and 7 (0.6%) nurses. Of the respondents, 69.1% claimed to be comfortable with pessary fitting and follow-up, and 54.1% think that a pessary can be offered as a first-line treatment in the management of POP. However, 60.1% reported that the main indications for pessaries were \u201colder women,\u201d 71.3% for women with contraindications to surgery, and 60.5% for women waiting for surgery. 23.9% do not prescribe local estrogen therapy with a pessary for postmenopausal women. The main pessaries used are the ring and cube types (63.7 and 57.5%, respectively). Wide introitus (53.3%), difficulties of use (56.3%), a short vagina (41.4%), and major unmasked urinary incontinence (47.2%) are considered to be the main risk factors for pessary failure. The most common complications related to pessaries reported by the patients are vaginal discharge (48.6%) and pain or discomfort (40.6%). Up to 43.4% of respondents considered that a follow-up visit every 3\u20136 months was optimal. The need for training ranged from 42.8% for nurses to 65.2% for general practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This national multidisciplinary survey revealed that HCPs in France are on the whole comfortable with pessaries and mainly prescribe the ring and cube form. Even if opinion about pessaries appears to be changing, HCPs would welcome additional training to improve knowledge and practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2021.0229","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T09:42:53Z","timestamp":1632735773000},"page":"870-877","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Vaginal Pessary for Pelvic Organ Prolapse: A French Multidisciplinary Survey"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3973-6018","authenticated-orcid":false,"given":"Anne-C\u00e9cile","family":"Pizzoferrato","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Medicine, Caen University Hospital, Caen, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystel","family":"Nyangoh-Timoh","sequence":"additional","affiliation":[{"name":"Inserm, LTSI\u2014UMR 1099 Unit, Department of Obstetrics and Gynecology, Rennes Hospital, Rennes University 1, Rennes, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathilde","family":"Martin-Lasnel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Medicine, Caen University Hospital, Caen, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffa\u00e8le","family":"Fauvet","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Medicine, Caen University Hospital, Caen, France."},{"name":"Inserm U1086 ANTICIPE Unit, Caen Normandie University, Caen, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renaud","family":"de Tayrac","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Car\u00e9meau University Hospital, N\u00eemes, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Villot","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cotentin Public Hospital Center, Cherbourg, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.01.060"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2019.05.007"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01329.x"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.1285"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004125"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.01.044"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15956"},{"key":"e_1_3_5_9_2","first-page":"CD004010","article-title":"Pessaries (mechanical devices) for pelvic organ prolapse in women","volume":"2013","author":"Bugge C","year":"2013","unstructured":"Bugge C, , Adams EJ, , Gopinath D, , Reid F. 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