Priority 7 from the Pessary use for Prolapse PSP

UNCERTAINTY: What is the best way to minimise and treat vaginal discharge caused by pessaries? (JLA PSP Priority 7)
Overall ranking 7
JLA question ID 0054/7
Explanatory note Unwanted vaginal discharge is considered to be one of the main reasons for women choosing to stop pessary use. If future research could identify how to minimise this problem, more women might persevere with pessary treatment of their prolapse. 

None identified

Health Research Classification System category Renal and urogenital
Extra information provided by this PSP
Original uncertainty examples

What is the best treatment if any for vaginal discharge in pessary patients  ~  How can discharge be reduced with longer term pessary use?  ~  Is there any way of reducing the discharge from the vagina?  ~  What is the best management for vaginal health when using a pessary?  ~  Why do women develop such a large amount of discharge with a pessary in situ? Is one particular type of pessary more likely to cause discharge?

Submitted by 4 x healthcare professionals, 1 x woman, 1 x other
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