دورية أكاديمية
أعرض في EDS

Patient experience of pain during vaginal pessary removal and insertion: a service evaluation study.

التفاصيل البيبلوغرافية
العنوان: Patient experience of pain during vaginal pessary removal and insertion: a service evaluation study.
المؤلفون: Renouf C; South Tees NHS Foundation Trust, Middlesbrough, UK. c.renouf@nhs.net., Ballard P; South Tees NHS Foundation Trust, Middlesbrough, UK., Khunda A; South Tees NHS Foundation Trust, Middlesbrough, UK., Kershaw V; South Tees NHS Foundation Trust, Middlesbrough, UK., Shawer S; South Tees NHS Foundation Trust, Middlesbrough, UK., Rees J; University of Sunderland, Sunderland, UK.
المصدر: International urogynecology journal [Int Urogynecol J] 2024 Feb; Vol. 35 (2), pp. 327-332. Date of Electronic Publication: 2023 Sep 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Springer
مواضيع طبية MeSH: Pessaries*/adverse effects , Ambulatory Care Facilities*, Humans ; Female ; Pregnancy ; Colpotomy ; Pain/etiology ; Patient Outcome Assessment
مستخلص: Introduction and Hypothesis: Pelvic organ prolapse is a common problem affecting women, but there is currently a lack of research focusing on patient experience of pessary changes. This study was aimed at capturing the patient perspective of pessary changes and formally assessing pain during pessary removal and insertion.
Methods: A service evaluation request was granted by South Tees Hospitals NHS Trust. Patients undergoing pessary change (ring, shelf, or Gellhorn) in gynaecology outpatient clinics over a 6-month period were asked to rate their pain scores on a ten-point numerical pain-rating scale. Other associated data were collected.
Results: Out of 213 women, 58.2% reported that pessary removal was more painful than insertion, 30.5% reported equal pain, and 10.8% reported that insertion was more painful than removal. Pain scores were significantly higher for removal (mean 4.37, median 4, IQR 4-7) than for insertion (mean 2.66, median 2, IQR 2-4, p <0.001). Ring pessaries were significantly less painful to both remove and insert than shelf and Gellhorn pessaries. Smaller pessaries were more painful to both remove and insert. There was no significant difference in pain scores reported by those with or without diagnosed vulval conditions.
Conclusions: Pessary removal causes most women moderate pain, which should be communicated to patients beforehand. Ring pessaries are significantly less painful to change than other pessary types. Clinicians should consider pain as a factor in their decision-making surrounding pessary choice and when counselling patients. Future research should focus on ways to reduce pain during pessary removal.
(© 2023. The International Urogynecological Association.)
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فهرسة مساهمة: Keywords: Pain; Patient experience; Pelvic-organ prolapse; Pessary changes; Vaginal pessaries
تواريخ الأحداث: Date Created: 20230902 Date Completed: 20240304 Latest Revision: 20240304
رمز التحديث: 20240304
DOI: 10.1007/s00192-023-05643-w
PMID: 37659003
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-3023
DOI:10.1007/s00192-023-05643-w