DOUBLE PESSARY USE IN GRADE 4 UTERINE AND VAGINAL PROLAPSE
作者:
Deborah Myers,
Christine LaSala,
John Murphy,
期刊:
Obstetrics & Gynecology
(OVID Available online 1998)
卷期:
Volume 91,
issue 6
页码: 1019-1020
ISSN:0029-7844
年代: 1998
出版商: OVID
数据来源: OVID
摘要:
BackgroundCertain situations dictate conservative management of grade 4 uterine or vaginal vault prolapse in women. The reduction of a prolapse may not be possible if the vagina cannot retain a single pessary. We have used double pessaries in the management of this condition.TechniqueWith the patient in the dorsal lithotomy position, either a Donut or Inflatoball (Milex Products Inc., Chicago, IL) pessary is inserted and pushed into the vagina as far as is comfortable. A second pessary, either a flexible Gellhorn or Shaatz (Milex Products Inc.), then is placed caudad to the first.ExperienceWe have used this approach in five women who have been followed for 7-15 months. There have been no erosions or vaginitis and all the women experienced symptomatic relief.ConclusionIn women who want or require conservative management of grade 4 prolapse and are unable to retain a single pessary, the placement of two pessaries often will be successful.
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