Priority 18 from the Pessary use for Prolapse PSP

UNCERTAINTY: What should be considered when choosing which type of pessary for use in the treatment of prolapse? (JLA PSP Priority 18)
Overall ranking	18
JLA question ID	0054/18
Explanatory note	Examples: How do doctors/nurses choose which pessary to fit? Size/cost/type etc? How will you know if a pessary is the best option for me? How do you decide which pessary to try?
Evidence	None identified
Health Research Classification System category	Renal and urogenital

Extra information provided by this PSP
Original uncertainty examples	Are some pessaries better than others (eg ring v cube)? ~ When would a cube pessary be of benefit? ~ I wasn't aware of all the different pessary devices available. How does the doctor select which to use? ~ What are the indications for the various pessary shapes and designs? ~ Is there a choice about which sort to use? ~ How will you know if a pessary is the best option for me? ~ Which type allow the patient to remove for intercourse?
Submitted by	1 x other, 5 x both, 4 x women, 12 x healthcare professional

Extra information provided by this PSP

Original uncertainty examples

Are some pessaries better than others (eg ring v cube)? ~ When would a cube pessary be of benefit? ~ I wasn't aware of all the different pessary devices available. How does the doctor select which to use? ~ What are the indications for the various pessary shapes and designs? ~ Is there a choice about which sort to use? ~ How will you know if a pessary is the best option for me? ~ Which type allow the patient to remove for intercourse?

Submitted by

1 x other, 5 x both, 4 x women, 12 x healthcare professional

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