Pessary use in pelvic organ prolapse and urinary incontinence.
With the aging population in the United States, there has been a renewed interest in pessaries as a conservative alternative to surgical repair for pelvic organ prolapse (POP). They present a good option for patients who have not completed childbearing, do not desire surgery, or are poor surgical candidates. Long-term pessary use is a safe and effective option for patients with POP and stress urinary incontinence. Although serious side effects are infrequent, insertion and removal of most pessary types still pose a challenge for many patients. Pessary design should continue to improve, making its use a more attractive option.
Tufts University School of Medicine, Baystate Medical Center, Department of Obstetrics & Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery Springfield, MA.
Keisha A
KA
Jones
Oz
O
Harmanli