Priority 18 from the Pessary use for Prolapse PSP

UNCERTAINTY: What should be considered when choosing which type of pessary for use in the treatment of prolapse? (JLA PSP Priority 18)
Overall ranking 18
JLA question ID 0054/18
Explanatory note Examples: How do doctors/nurses choose which pessary to fit? Size/cost/type etc? How will you know if a pessary is the best option for me? How do you decide which pessary to try?
Evidence

None identified
Health Research Classification System category Renal and urogenital
Extra information provided by this PSP
Original uncertainty examples

Are some pessaries better than others (eg ring v cube)?  ~  When would a cube pessary be of benefit?  ~  I wasn't aware of all the different pessary devices available. How does the doctor select which to use?  ~  What are the indications for the various pessary shapes and designs?  ~  Is there a choice about which sort to use?  ~  How will you know if a pessary is the best option for me?  ~  Which type allow the patient to remove for intercourse?
Submitted by 1 x other, 5 x both, 4 x women, 12 x healthcare professional
PSP information
PSP unique ID 0054
PSP name Pessary use for Prolapse
Total number of uncertainties identified by this PSP. 66  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 8 September 2017