Desire for Continued Pessary Use Among Women of Hispanic and Non-Hispanic Ethnic Backgrounds for Pelvic Floor Disorders

Ankita Gupta, Carol Cox, Gena C. Dunivan, Jeremy T. Gaskins, Rebecca Rogers, Cheryl B. Iglesia, Kate V. Meriwether

Research output: Contribution to journalArticle

Abstract

Objective This study aimed to describe the association between patient ethnicity/race and desire to continue using a pessary for the treatment of pelvic floor disorders. Methods We performed a secondary analysis of a randomized trial among women presenting for pessary fitting. The primary outcome was the desire to continue using a pessary at 3 months. Bacterial vaginosis by Nugent score and vaginal symptoms (discharge, itching, pain, sores) were also evaluated. Logistic or multiple linear regression was performed with correction for body mass index, education level, parity, Charlson Comorbidity Index, and randomization to TrimoSan gel. Results One hundred fourteen women (41 Hispanic and 73 non-Hispanic) were eligible for this analysis. Women self-identified as white (65/114; 57%), Hispanic (41/114, 36%), Asian (3/114; 2.6%), Native American (4/114; 3.5%), and "other" (1/114, 0.9%) race, with no self-identified African American women (0/114) meeting the inclusion criteria. No significant difference in desire to continue pessary use was found between Hispanic and non-Hispanic women (58.5% vs 63%; P = 0.69; corrected odds ratio [cOR], 1.11; 95% confidence interval [CI], 0.43-2.90) or across races (P = 0.89). Hispanic women had significantly higher risk of bacterial vaginosis (34% vs 16%; P = 0.04; cOR, 2.91; 95% CI, 1.01-8.39), higher Nugent scores (5.4 ± 2.3 vs 4.3 ± 2.3; P = 0.02; corrected coefficient, 1.10; 95% CI, 0.10-2.10), and more vaginal pain (17.1% vs 2.8%; P = 0.01; cOR, 9.14; 95% CI, 1.37-61.17) at 3 months. Conclusions Despite increased vaginal pain and vaginal microbiome disturbances in Hispanic women using a pessary, no significant differences in the desire to continue using the pessary existed.

Original languageEnglish (US)
Pages (from-to)172-177
Number of pages6
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume25
Issue number2
DOIs
StatePublished - Mar 1 2019

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Pelvic Floor Disorders
Pessaries
Hispanic Americans
Confidence Intervals
Bacterial Vaginosis
Odds Ratio
Pain
Vaginal Discharge
North American Indians
Microbiota
Pruritus
Random Allocation
Parity
African Americans
Comorbidity
Linear Models
Body Mass Index
Gels
Education

Keywords

  • Hispanic
  • ethnicity
  • pessary
  • prolapse
  • race

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

Cite this

Desire for Continued Pessary Use Among Women of Hispanic and Non-Hispanic Ethnic Backgrounds for Pelvic Floor Disorders. / Gupta, Ankita; Cox, Carol; Dunivan, Gena C.; Gaskins, Jeremy T.; Rogers, Rebecca; Iglesia, Cheryl B.; Meriwether, Kate V.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 25, No. 2, 01.03.2019, p. 172-177.

Research output: Contribution to journalArticle

Gupta, Ankita ; Cox, Carol ; Dunivan, Gena C. ; Gaskins, Jeremy T. ; Rogers, Rebecca ; Iglesia, Cheryl B. ; Meriwether, Kate V. / Desire for Continued Pessary Use Among Women of Hispanic and Non-Hispanic Ethnic Backgrounds for Pelvic Floor Disorders. In: Female Pelvic Medicine and Reconstructive Surgery. 2019 ; Vol. 25, No. 2. pp. 172-177.
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