{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:53:11Z","timestamp":1760147591246,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: Pelvic organ prolapse (POP) can be managed using a vaginal pessary. However, the decision-making process whereby health professionals choose the right pessary is unclear. The objective of this study was to focus on the experience of experts in pessary use and to propose an algorithm. (2) Methods: A prospective study, based on face-to-face semi-directive interviews and group discussions, was conducted on a multidisciplinary panel of professional experts specialized in pessary prescriptions. A consensual algorithm was established, and its accuracy was assessed by expert and non-expert panels. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were used. (3) Results: 17 semi-directive interviews were conducted. The parameters involved in the decision-making process regarding the choice of vaginal pessaries were: desire for self-management (65%), associated urinary stress incontinence (47%), POP type (41%), and POP stage (29%). The algorithm was developed step by step (4 iterations) using the Delphi technique. Most of the expert panel (76%) rated the relevance of the algorithm as 7 or more out of 10 on a visual analog scale according to their own experience (reference activity). Finally, most (81%) of the non-expert panel (n = 230) rated the usefulness of this algorithm as 7 or more out of 10 on a visual analog scale. (4) Conclusions: This study provides an expert panel-based algorithm that may help in the prescription of pessaries for POP.<\/jats:p>","DOI":"10.3390\/jcm12041548","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T01:36:52Z","timestamp":1676511412000},"page":"1548","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Identification of Key Factors Influencing the Choice of the Type of Vaginal Pessary for Women Presenting with Pelvic Organ Prolapse: Semi-Directive Interviews and Development of an Algorithm"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-2305","authenticated-orcid":false,"given":"Marie-Am\u00e9lie Le","family":"Quoy","sequence":"first","affiliation":[{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, Assistance Publique\u2014Hopitaux de Paris (APHP), GHU Paris Saclay, Hopital Antoine Beclere, 157, rue de La-Porte-de-Trivaux, F-92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odile","family":"Cotelle","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, Assistance Publique\u2014Hopitaux de Paris (APHP), GHU Paris Saclay, Hopital Antoine Beclere, 157, rue de La-Porte-de-Trivaux, F-92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4352-4782","authenticated-orcid":false,"given":"Renaud de","family":"Tayrac","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie, CHRU Car\u00e9meau, rue du Professeur-Debr\u00e9, CEDEX 9, 30029 N\u00eemes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Happillon","sequence":"additional","affiliation":[{"name":"Independent Researcher, 35 Bis Route Corzent, F-74200 Anthy sur L\u00e9man, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Pelhuche","sequence":"additional","affiliation":[{"name":"Unit\u00e9 D\u2019urodynamique, Assistance Publique\u2014Hopitaux de Paris (APHP), GHU Paris Saclay, H\u00f4pital Paul Brousse, 12 Avenue Paul-Vaillant-Couturier, F-94800 Villejuif, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Wenner-Vidal","sequence":"additional","affiliation":[{"name":"Laboratoire D\u2019urodynamique, H\u00f4pital Georges Cl\u00e9menceau, GHU Paris Est, Assistance Publique\u2014Hopitaux de Paris (APHP), 1 rue Georges-Clemenceau, F-91750 Champcueil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blandine","family":"Liagre","sequence":"additional","affiliation":[{"name":"Independent Researcher, 120 rue Chanzy, F-59260 Hellemmes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Cour","sequence":"additional","affiliation":[{"name":"Service d\u2019Urologie, H\u00f4pital Foch, 40 rue Worth, F-92150 Suresnes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Armengaud","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, Centre Hospitalier Intercommunal de Poissy, 10 rue Champ Gaillard, F-78300 Poissy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautier","family":"Chene","sequence":"additional","affiliation":[{"name":"Department of Gynecology, H\u00f4pital Femme M\u00e8re Enfant\u2014HFME, University of Lyon, 59 bd Pinel, F-69500 Bron, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6899-5361","authenticated-orcid":false,"given":"Emilie","family":"Cerutti","sequence":"additional","affiliation":[{"name":"Independent Researcher, 24 rue Chalezeule, F-25000 Besan\u00e7on, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Doucet","sequence":"additional","affiliation":[{"name":"Laboratoire D\u2019urodynamique, H\u00f4pital Georges Cl\u00e9menceau, GHU Paris Est, Assistance Publique\u2014Hopitaux de Paris (APHP), 1 rue Georges-Clemenceau, F-91750 Champcueil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-C\u00e9cile","family":"Pizzoferrato","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, CHU de Poitiers, 2 rue de la Mil\u00e9trie, F-86000 Poitiers, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Deffieux","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie-Obst\u00e9trique, Assistance Publique\u2014Hopitaux de Paris (APHP), GHU Paris Saclay, Hopital Antoine Beclere, 157, rue de La-Porte-de-Trivaux, F-92140 Clamart, France"},{"name":"Medecine School, University of Paris Saclay, 94270 Le Kremlin Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1002\/nau.24709","article-title":"Systematic review and appraisal of clinical practice guidelines on pelvic organ prolapse using the AGREE II tool","volume":"40","author":"Tsiapakidou","year":"2021","journal-title":"Neurourol. 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Women\u2019s Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/AOG.0000000000002461","article-title":"Customized Pessary Fabrication Using Three-Dimensional Printing Technology","volume":"131","author":"Barsky","year":"2018","journal-title":"Obstet. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1981","DOI":"10.1007\/s00192-021-04975-9","article-title":"Transperineal ultrasound to estimate the appropriate ring pessary size for women with pelvic organ prolapse","volume":"33","author":"Manzini","year":"2022","journal-title":"Int. Urogynecol. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00192-021-04775-1","article-title":"Cross sectional study on assessment of ring pessary cleaning and removal every six months: Adverse events and complications","volume":"33","author":"Pereira","year":"2022","journal-title":"Int. Urogynecol. J."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1548\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:36:59Z","timestamp":1760121419000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1548"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,15]]},"references-count":18,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["jcm12041548"],"URL":"https:\/\/doi.org\/10.3390\/jcm12041548","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2023,2,15]]}}}