Priority 24 from the Pessary use for Prolapse PSP
|UNCERTAINTY: Can women be taught to manage their own pessary? (JLA PSP Priority 24)
|JLA question ID
|Self-management of pessaries is taught by some care providers but not all. Identifying which women should be offered a self-management option for their pessary use would have significant implications for the cost of pessary provision. Understanding which pessary types could be self-managed might mean pessary use for prolapse would be more widely available. Equally important is future research to identify those who will not be successful with a self-management programme. Future research needs to find out what works for women and why. Examples: Can they be put in easily by the patient? Why can't I put it in and take it out myself? Which pessaries are easiest for the patient to fit and remove themselves?
A trial is underway: https://w3.abdn.ac.uk/hsru/TOPSY/Public/Public/index.cshtml. The TOPSY trial is a multi-centre randomised control trial, with nested process evaluation, to test the clinical and cost-effectiveness of self-management of vaginal pessaries to treat pelvic organ prolapse, compared to standard care to improve women’s quality of life.
|Health Research Classification System category
|Renal and urogenital
|Extra information provided by this PSP
|Original uncertainty examples
Is it really necessary for women to attend to clinics to have their pessary changed - if appropriately selected they could self manage? ~
|7 x both, 5 x healthcare professionals, 6 x women
|PSP unique ID
|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