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Pessary Placement

Pessary placement is a non-surgical procedure used to manage certain pelvic floor disorders, such as pelvic organ prolapse and urinary incontinence. It involves the insertion of a medical device called a pessary into the vagina to provide support and alleviate symptoms. This article provides an overview of pessary placement, its purpose, and the procedure involved.

Pessary placement is a conservative treatment option that aims to provide support to the pelvic organs and improve symptoms associated with pelvic floor disorders. A pessary is a removable device typically made of medical-grade silicone or plastic. It is shaped like a ring, cube, or donut and is inserted into the vagina to support the prolapsed organs or address urinary incontinence.

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About Pessary Placement

Various types of pessaries are available to accommodate different anatomical variations and conditions. Common types include:

  1. Ring pessaries: These are circular-shaped pessaries that provide support by encircling the cervix.
  2. Gellhorn pessaries: These are pessaries with a more solid, knob-like shape, suitable for women with significant uterine prolapse or cystocele.

  3. Cube pessaries: These pessaries have a cube-like shape and are used for managing uterine prolapse or stress urinary incontinence.

  4. Donut pessaries: These pessaries have a ring with a central opening, suitable for women with a rectocele or enterocele.

The choice of pessary depends on individual circumstances, anatomical considerations, and the specific condition being addressed. A healthcare provider will determine the most appropriate type of pessary for each individual.

Procedure of Pessary Placement

The procedure for pessary placement typically involves the following steps:

  1. Evaluation and assessment: A healthcare provider will perform a thorough evaluation, including a pelvic examination, to determine the type and size of the pessary suitable for the individual's condition.

  2. Insertion: The pessary is inserted into the vagina using lubrication and proper positioning techniques. Some pessaries may require folding or compression before insertion.

  3. Adjustment and fitting: The healthcare provider ensures that the pessary is properly positioned and fits comfortably within the vagina without causing discomfort or obstruction.

  4. Instruction and education: Individuals receive instructions on how to clean and care for the pessary, as well as information on potential symptoms or complications to watch for.

  5. Follow-up visits: Regular follow-up visits are scheduled to monitor the effectiveness of the pessary, address any concerns, and make adjustments if necessary.

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