Vaginal pessaries in urinary incontinence: integrative review

Authors

  • Priscilla Daun de Assis de Oliveira Estomaterapeuta pela Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Carolina Bueno Somense Estomaterapeuta pela Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Natalia Aparecida de Barros Enfermeira Estomaterapeuta pela Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Eliana de Fatima Martins Greghi Enfermeira Estomaterapeuta pela Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Neusa Maria Costa Alexandre Professora Associada da Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Sonia Regina Pérez Evangelista Dantas Assessora Técnica do Curso de Especialização em Estomaterapia da Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)
  • Néria Invernizzi da Silveira Assessora Técnica do Curso de Especialização em Estomaterapia da Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)

Keywords:

Urinary incontinence, Pessaries, Nursing, Stomatherapy

Abstract

Objectives: To analyze the types of pessaries, indications and impact in the treatment of urinary incontinence (UI). Methods: This is an integrative review with publications from 2007 to 2017 indexed in the Biblioteca Virtual em Saúde, Medical Literature Analysis and Retrieval System Online databases, Scopus Info Site, Cumulative Index to Nursing and Allied Health Literature and Web of Science. Results: Eight articles were selected. The pessaries indicated were the dish, ring, Uresta®, and Contiform®. The reduction or resolution of stress UI in women was observed by analysis of objective parameters such as urodynamic evaluation and quality of life questionnaires. Economic viability was highlighted. Disability, difficulties in use, discomfort, and maintenance of urinary losses were evidenced among the reasons for non-adherence. Advanced prolapse and short vaginal length were predictive of failure. Adverse events were identified in low incidence: urinary retention and leukorrhea. Conclusion: Pessary therapy is effective in the treatment of SUI when accompanied by trained professionals. Individual characteristics and perceptions about the device are determinants of therapeutic success. Studies of greater sampling, follow-up time and quality, as well as stimulation to national publications, are necessary for the investigation of objective measures of UI, clinical and demographic factors in relation to the success of the pessary.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Priscilla Daun de Assis de Oliveira, Estomaterapeuta pela Faculdade de Enfermagem (FEnf), Universidade Estadual de Campinas (Unicamp)

Formação em Estomaterapia pela Faculdade de Enfermagem da UNICAMP em 29/06/2018.

Atuando como enfermeira do Programa Saúde da Família desde 07/2014. 

Published

2019-05-14 — Updated on 2022-03-04

Versions

How to Cite

1.
Oliveira PD de A de, Somense CB, Barros NA de, Greghi E de FM, Alexandre NMC, Dantas SRPE, et al. Vaginal pessaries in urinary incontinence: integrative review. ESTIMA [Internet]. 2022 Mar. 4 [cited 2025 Feb. 13];17. Available from: https://www.revistaestima.com.br/estima/article/view/661

Issue

Section

Review article

Most read articles by the same author(s)

1 2 > >> 

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.