Impact of Self‐Management on Fitting Success and Continuation of Ring Pessary Therapy for Pelvic Organ Prolapse

Bun, Michiko; Miyoshi, Ai; Kawano, Mahiru et al.

The Journal of Obstetrics and Gynaecology Research, 2026, 52(5), e70295

アクセス数:593件（2026-11-10 15:36 集計）

固定URL: https://hdl.handle.net/11094/104644

閲覧可能ファイル 

ファイル フォーマット 利用条件 サイズ 閲覧回数 利用開始日 説明 information
JofObstetandGynaecol_52_5_e70295 pdf なし 956 KB   2027.04.30  

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

タイトル
Impact of Self‐Management on Fitting Success and Continuation of Ring Pessary Therapy for Pelvic Organ Prolapse
著者
NRID
1000061000021 1000061000021
著者名
Bun, Michiko
著者名
Miyoshi, Ai
NRID
1000030822209 1000030822209
researchmap permalink
Kawano-Mahiru Kawano-Mahiru
Scopus Author ID
55274568000 55274568000
著者名
Kawano, Mahiru
NRID
1000030644794 1000030644794
researchmap permalink
CHOP CHOP
Scopus Author ID
35182871900 35182871900
著者名
Endo, Masayuki
NRID
1000070791391 1000070791391
ORCID
0000-0003-4046-7572 0000-0003-4046-7572
researchmap permalink
mkyh mkyh
Scopus Author ID
35422516200 35422516200
著者名
Kodama, Michiko
キーワード等
pelvic organ prolapse
pessary fitting
predictive factors
ring pessary
self-management
内容
Bun Michiko, Miyoshi Ai, Kawano Mahiru, et al. Impact of Self‐Management on Fitting Success and Continuation of Ring Pessary Therapy for Pelvic Organ Prolapse. Journal of Obstetrics and Gynaecology Research 52(5), e70295 (2026); https://doi.org/10.1111/jog.70295.
抄録
Aim: Ring pessary therapy is a widely used conservative treatment for pelvic organ prolapse (POP). In Japan, pessary self-management (SM) is recognized as a management option that may reduce adverse events; however, its adoption in routine clinical practice remains limited, and clinical data are scarce. This study aimed to identify factors associated with successful fitting and continuation of ring pessary therapy, focusing on the role of SM. Methods: We retrospectively reviewed the medical records of 90 patients with POP who initiated ring pessary therapy at our institution between 2010 and 2020. Patient characteristics, anatomical parameters, pessary management methods (SM or clinic management [CM]), and reasons for discontinuation were analyzed. Kaplan–Meier analysis, multivariate logistic regression, and Cox proportional hazards models were used to evaluate factors associated with fitting success and continuation. Results: Among the 90 patients, 66 (73.3%) selected SM and 24 (26.7%) CM. Successful fitting was achieved in 62 patients (93.9%) in the SM group and in 8 patients (33.3%) in the CM group. SM was independently associated with successful fitting and longer continuation. Among patients with successful fitting, continuation rates were significantly higher in the SM group than in the CM group (p < 0.0001). The median pessary size among successfully fitted patients was 62 mm. In exploratory analyses, patients who discontinued therapy due to pain or discomfort tended to have shorter total vaginal length (TVL) and lower TVL/height ratios. Conclusions: Ring pessary therapy is a useful conservative treatment option for Japanese women with POP. SM may facilitate successful fitting and prolonged continuation when appropriate patient instruction and follow-up are provided.
出版者
Wiley
収録物名
The Journal of Obstetrics and Gynaecology Research
巻(号)
52(5)
ページ
e70295
刊行年月
2026-04-30
言語
英語
ハンドルURL
https://hdl.handle.net/11094/104644
PISSN
13418076
eISSN
14470756
関連情報 (isVersionOf)
DOI (出版社版)
https://doi.org/10.1111/jog.70295
アクセス権
embargoed access
権利情報
The full-text file will be made open to the public on 30 April 2027 in accordance with the publisher's policy.
出版タイプ
Accepted Manuscript
カテゴリ
学術雑誌論文 Journal Article