Priority 8 from the Pessary use for Prolapse PSP

UNCERTAINTY: Does pessary use in prolapse have a positive impact on physical activity? (JLA PSP Priority 8)
Overall ranking	8
JLA question ID	0054/8
Explanatory note	Some of the questionnaires used in prolapse and pessary research ask about the impact of prolapse symptoms on quality of life but there is very little information about whether the use of a pessary will help a women to maintain an active lifestyle or encourage more activity which might help with reducing weight. Obesity is a contributing factor for prolapse so answering this question could have a significant impact for the management of prolapse, and possibly the prevention of prolapse. Examples: Can a pessary just be used for exercise? Will a pessary enable me to resume activities I have had to give up? Can pessary use during high impact exercise reduce the risk of pop [prolapse] development in postnatal women?
Evidence	None identified
Health Research Classification System category	Renal and urogenital

Extra information provided by this PSP
Original uncertainty examples	Can pessaries be used to allow women partake in exercises that are traditionally avoided with prolapse -e.g weightlifting? ~ Will a pessary enable me to resume activities I have had to give up? ~ Can pessaries be used for exercise only and easily be removed? ~ Can pessary use during high impact exercise reduce the risk of pop development in postnatal women? ~ Can pessary use during high impact exercise reduce the risk of pop development in women with puborectalis avulsion injuries? ~ Can I lift heavy weights at the gym and run with a pessary in ? ~ Can you run/jog/do high impact exercise with a pessary fitted and not make POP worse?
Submitted by	6 x women, 3 x healthcare professionals, 2 x both

Extra information provided by this PSP

Original uncertainty examples

Can pessaries be used to allow women partake in exercises that are traditionally avoided with prolapse -e.g weightlifting? ~ Will a pessary enable me to resume activities I have had to give up? ~ Can pessaries be used for exercise only and easily be removed? ~ Can pessary use during high impact exercise reduce the risk of pop development in postnatal women? ~ Can pessary use during high impact exercise reduce the risk of pop development in women with puborectalis avulsion injuries? ~ Can I lift heavy weights at the gym and run with a pessary in ? ~ Can you run/jog/do high impact exercise with a pessary fitted and not make POP worse?

Submitted by

6 x women, 3 x healthcare professionals, 2 x both

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