At our tertiary urogynaecology clinic, pessaries
are routinely offered to all women with symptomatic POP.
The years 2004 through 2013 were chosen for this review because the primary author of this article had already published a review of the literature previous to 2004 that examined the role of the nurse in using vaginal pessaries
to treat pelvic organ prolapse and/or SUI (McIntosh, 2005).
A 2004 Cochrane review of pessaries
use for POP and updated in 2013 (13,18) found only 1 randomized controlled trial examining the efficacy of pessary use.
A 2013 Cochrane Review seeking to determine the effectiveness of pessaries
in POP, identified one RCT (crossover, 3 month, multicenter, United States) that compared symptom relief and change in life impact over baseline for 134 women (parous, mean age 61 years, range 30-89 years) with POP stage II or greater who were treated with ring with support or Gellhorn pessaries
More recently, silicon has replaced other materials for vaginal pessaries
and approximately 20 types of either supportive or space filling pessaries
are used worldwide.
I continue to improve my dexterity with those slippery pessaries
, so that removal and replacement are as pain free as possible.
Even very young women--and certainly many older women who lead physically active lives--may leak urine during vigorous exercise, but that doesn't mean they all need pessaries
or surgery to get them on the court or the playing field, according to Dr.
Available by prescription, pessaries
are usually made of silicone and must be fitted by a healthcare professional.
In a study carried out in the United States, three women with a history of failed attempts at having children became pregnant after using specially formulated Viagra pessaries
come in a variety of shapes and sizes to allow the doctor to find the most comfortable fit for the patient.
For women a new device, the urethral plug, is available to do the job that pessaries
were once used but not designed for - i.
Douching powders and astringents, dissolving suppositories, and vaginal pessaries
had supplemented male withdrawal and abstinence as mainstays of birth-control practice in pre-industrial America.