Evidence map›Paper›PMID 41843097›Full record

ArticleInternational urogynecology journal2026

The Success Rate of Hong Kong Chinese Women with Pelvic Organ Prolapse in Pessary Self-Management: a Multi-Centered Prospective Study.

Samson Chin Ho Lau, Wai Lam Chan, Wing Tung Cheng, Rachel Yau Kar Cheung, Symphorosa Shing Chee Chan

Abstract readMulticenter Study
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Samson Chin Ho LauDepartment of Obstetrics and Gynaecology, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong. lch189@ha.org.hk.ORCID http://orcid.org/0009-0009-9470-6330
Wai Lam ChanDepartment of Obstetrics and Gynaecology, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong.
Wing Tung ChengDepartment of Obstetrics and Gynaecology, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong.
Rachel Yau Kar CheungDepartment of Obstetrics and Gynaecology, Prince of Wales Hospital, Faculty of Medicine, Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.
Symphorosa Shing Chee ChanDepartment of Obstetrics and Gynaecology, Prince of Wales Hospital, Faculty of Medicine, Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to determine the success rate of pessary self-management (PSM) and identify influencing factors among the Hong Kong Chinese population with pelvic organ prolapse (POP).

methodsA prospective study was conducted from November 2023 to April 2024 across three local tertiary hospitals. A total of 165 Chinese women with POP using a ring pessary were enrolled. Exclusion criteria included dependency, limited dexterity, and cognitive impairment. Participants received a standardized one-to-one PSM teaching session. Success was defined as continuing PSM at the 1-year follow-up. Statistical analysis identified factors associated with success.

resultsThe PSM success rate was 86.7% (143 out of 165). The successful group was significantly younger (mean 68.7 vs 73.9 years, p = 0.011), had higher education levels (p = 0.023), with lower parity (median 2 vs 3, p = 0.048), and less advanced stages of POP (88% stages 1-2 vs 54.5%, p < 0.001). Contrary to initial hypotheses, successful PSM was associated with the use of a larger pessary (69.8 mm vs 66.6 mm, p = 0.047).

conclusionsPSM is a highly viable and successful strategy for Chinese women, with a success rate comparable with Western populations. Key factors for success include younger age, higher education, milder prolapse, and the use of a larger pessary. These findings support the early introduction of PSM to suitable patients to enhance patient empowerment and optimize conservative POP management.

Indexed as

Pelvic Organ ProlapsePessariesSelf-ManagementAgedAged, 80 and overAge FactorsEast Asian PeopleFemaleHong KongHumansMiddle AgedProspective StudiesTreatment OutcomeChinese populationPelvic organ prolapsePessary self-managementSuccess rate

Identifiers

PMID41843097
PMCPMC13486018

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.