Preview

Meditsinskiy sovet = Medical Council

Advanced search

UROGYNECOLOGICAL PESSARIES: NAVIGATOR FOR FIRST-TIMER

https://doi.org/10.21518/2079-701X-2016-12-150-158

Abstract

This article is of practical aspect and is addressed to obstetrician-gynecologists  of the outpatient sphere. Urogynecological pessaries is the first line therapy of pelvic organs prolapse in women and the concomitant urinary incontinence. Their choice is not difficult and each gynecologist must be skilled at it. The article describes in detail the algorithm of the examination required for the selection of the pessary of the correct form and size, which considerably simplifies work of the gynecologist and will help to implement this therapeutic method in his/her day-to-day practice.

About the Authors

I. A. Apolikhina
Kulakov Scientific Center of Obstetrics, Gynecology and Perinatology, Moscow
Russian Federation

Prof., MD



A. S. Chochueva
Kulakov Scientific Center of Obstetrics, Gynecology and Perinatology, Moscow
Russian Federation


E. A. Gorbunova
Kulakov Scientific Center of Obstetrics, Gynecology and Perinatology, Moscow
Russian Federation


References

1. Fonti Y, Giordano R, Cacciatore A, Romano M, La Rosa B. Post partum pelvic floor changes. J Prenat Med. 2009;3(4):57–59.

2. Тюрина С.С. Сакроспинальная фиксация в хирургии генитального пролапса: показания, техника, результаты. Дисс. на соискание степени канд. наук. Москва, 2014./Tyurina S.S. Sacrospinal fixation in surgery of genital prolapse: indications, technique, results. PhD dissertation. Moscow, 2014.

3. Bump RC, Mattiasson A, Kari B0, Brubaker LP, DeLancey JOL, Klarskov P, Shull BL, Smith ARB. Produced by the International Continence Society Committee on Standardisation of Terminology (Anders Mattiasson, chairman), Subcommittee on Pelvic Organ Prolapse and Pelvicfloor Dysfunction (Richard Bump, chairman) in collaboration with the American Urogynecologic Society and the Society of Gynecologic Surgeons. Am J Obstet Gynec. 1996;175:10–17.

4. Robert M, Mainprize TC. Long-term assessment of the incontinence ring pessary for the treatment of stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13:326.

5. Коршунов М.Ю. Пролапс тазовых органов у женщин: персонализированный подход к диагностике, хирургической коррекции и оценке результатов лечения. Дисс. на соискание ученой степени доктора наук. Санкт-Петербург, 2016./Korshunov M.T. Pelvic organs prolapsed in women: personalized approach to diagnostics, surgical correction and evaluation of therapy results. Doctoral dissertation. Saint-Petersburg, 2016.

6. Слабость мышц тазового дна: всех ли нужно оперировать? Освещение секционного заседания. Эффективная фармакотерапия. Акушерство и гинекология. 2012;5:46-51. /Weakness of the pelvic floor muscles: do we have to operate on everybody? Interpretation of the section sitting. Effective pharmacotherapy. Akusherstvo I Ginekologia. 2012; 5: 46-51.

7. Лечебно-профилактическая тактика при опущении и выпадении половых органов у женщин: федеральные клинические рекомендации. Москва, 2014 г./Therapeutic and preventive tactics at pelvic organs prolapse in women: federal clinical recommendations. Moscow, 2014.

8. Atnip SD. Pessary use and management for pelvic organ prolapse. Obstet Gynecol Clin North Am. 2009;36(3):541-63.

9. Hanson LA, Schulz JA, Flood CG et al. Vaginal pessaries in managing women with pelvic organ prolapse and urinary incontinence: patient characteristics and factors contributing to success. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:155-9.

10. Alnaif B, Drutz HP. Bacterial vaginosis increases in pessary users. Int. Urogynecol. J. Pelvic. Floor Dysfunct. 2000;11(4):219–222.

11. Attalah D, Lizee DS, van den Akker M, Gadonneix P, Tranbaloc P, Villet R. Genital actinomycosis diagnostic and therapeutic diffi culties. Report of three cases. Ann. Chir. 1999;53(4):291–296.

12. Bouma J, Burger MP, Krans M, Hollema H, Pras E. Squamous cell carcinoma of the vagina: a report of 32 caese. Int. J. Gynecol. Cancer. 1994;4(6):389–394.

13. Schraub S, Sun XS, Maingon P, Horiot JC, Daly N, Keiling R, Pigneux J, Pourquier H, Rozan R, Vrousos C. Cervical and vaginal cancer associated with pessary use. Cancer. 1992;69(10):2505–2509.

14. Goldstien I, Wise GJ, Tancer ML. A vesicovaginal fi stula and intravesical foreign body a rare case of neglected pessary. Am. J. Obstet. Gynecol. 1990;163(2):589–591.

15. Sivasuriya M. Cervical entrapment of a polyethylene vaginal ring pessary a clinical curiosity. Aust. N. Z. J. Obstet. Gynecol. 1987. 27;2:168–169.

16. Ott R, Richte H, Behr J, Scheele J. Small bowel prolapse and incarceration caused by a vaginal ring pessary. Br. J. Surg. 1993;80(9):1157.

17. Roberge RJ, Keller C, Garfinkel M. Vaginal pessary induced mechanical bowel obstruction. J. Emerg. Med. 2001;20(4):367–370.

18. Meinhardt W, Schuitemaker NW, Smeets MJ, Venema PL. Bilateral hydronefrosis with urosepsis due to neglected pessary. Case report. Scand. J. Urol. Nephrol. 1993;27(3):419–420.

19. Culligan PJ. Nonsurgical management of pelvic organ prolapse. Obstet Gynecol. 2012;119(4):852-60.

20. Handa VL, Jones M. Do pessaries prevent the progression of pelvic organ prolapse? Int Urogynecol J Pelvic Floor Dysfunct. 2002;13:349-51.


Review

For citations:


Apolikhina IA, Chochueva AS, Gorbunova EA. UROGYNECOLOGICAL PESSARIES: NAVIGATOR FOR FIRST-TIMER. Meditsinskiy sovet = Medical Council. 2016;(12):150-155. (In Russ.) https://doi.org/10.21518/2079-701X-2016-12-150-158

Views: 685


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)