Abstract
Objective: To review the available evidence concerning the fitting, management, and efficacy of pessaries used to treat stress incontinence.To describe a method of fitting and managing incontinence pessaries.Methods: An electronic search of the English language literature discussing pessaries and stress urinary incontinence was conducted using the following databases: PubMed (1968–2000), Cochrane Database of Systematic Reviews (CHID), HSTAT, Old Medline, Research Index, and Serline.Results: Twelve journal articles, two book chapters, and a pamphlet were found that discussed the use of pessaries to treat stress incontinence.None of the articles provided detailed discussions of fitting and management of incontinence pessaries and none had any results of this treatment option for stress urinary incontinence.Conclusion: The current literature contains few details concerning pessary care and no scientific evidence for the effectiveness of pessary treatment of stress urinary incontinence.
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