ABSTRACT

Recently, interest in pessaries as a noninvasive treatment option for POP and stress urinary incontinence (SUI) has again increased, although opinions on pessary use and pessary training continue to vary widely among clinicians. In a 2000 survey of American Urogynecologic Society members, most (77%) reported using pessaries as first-line therapy for prolapse, but some (12%) offered pessaries only to women who were not surgical candidates (3) . In a similar 2001 survey of American gynecologists, 86% reported prescribing pessaries for prolapse, but most received minimal training in pessary use and few believed pessaries were an effective treatment for SUI (4) .