Use of Pessaries in Pelvic Organ Prolapse: An integrative review

Objective: To analyze the studies available in the literature on the use of pessaries for the treatment of pelvic organ prolapse. Method: Integrative review of the literature, carried out from May to September 2023, by consulting the databases: Medical Literature Analysis via PubMed, Latin American Literature in Health Sciences, Nursing Database: Brazilian Bibliography and Scientific Electronic Library Online via Virtual Health Library. Results: 174 articles were recovered, 06 of the BVS and 168 of Medline. 07 duplicated publications were removed and 140 were excluded because they did not respond to the research issue. Thus, 28 studies were eligible, 12 excluded because they did not meet the inclusion and exclusion criteria, and 15 were selected for the study. Conclusion: The use of vaginal pessaries not only represents an effective conservative approach, but also proves to be a significant ally in the preoperative context for the treatment of pelvic organ prolapse. Pessaries should be offered to patients as a first-line treatment, as they present low risks, improve symptoms almost immediately.

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Publication Details

Journal
Revista Estima
Published
2025-10-29
DOI
https://doi.org/10.30886/estima.v23.1597_in
Primary Topic
Pelvic floor disorders treatments
Type
article
Field-Weighted Citation Impact
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article

Use of Pessaries in Pelvic Organ Prolapse: An integrative review

Revista Estima
Pelvic floor disorders treatments
article

Use of Pessaries in Pelvic Organ Prolapse: An integrative review

article en

Abstract

Objective: To analyze the studies available in the literature on the use of pessaries for the treatment of pelvic organ prolapse. Method: Integrative review of the literature, carried out from May to September 2023, by consulting the databases: Medical Literature Analysis via PubMed, Latin American Literature in Health Sciences, Nursing Database: Brazilian Bibliography and Scientific Electronic Library Online via Virtual Health Library. Results: 174 articles were recovered, 06 of the BVS and 168 of Medline. 07 duplicated publications were removed and 140 were excluded because they did not respond to the research issue. Thus, 28 studies were eligible, 12 excluded because they did not meet the inclusion and exclusion criteria, and 15 were selected for the study. Conclusion: The use of vaginal pessaries not only represents an effective conservative approach, but also proves to be a significant ally in the preoperative context for the treatment of pelvic organ prolapse. Pessaries should be offered to patients as a first-line treatment, as they present low risks, improve symptoms almost immediately.

Revista EstimaVol. 23
Universidade de São Paulo (BR), Universidade Federal do Piauí (BR), Universidade Estadual do Piauí (BR)
Openalex Percentile: Top 49%
Pelvic floor disorders treatments
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