Urogynecological pessaries: practical skills for physicians
- Authors: Gorbunova E.A.1, Yamurzina A.A.1, Apolikhina I.A.1,2
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Affiliations:
- Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
- First Moscow State Medical University, Ministry of Health of Russia
- Issue: No 12 (2017)
- Pages: 115-121
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248087
- DOI: https://doi.org/10.18565/aig.2017.12.115-121
- ID: 248087
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Abstract
Objective. To assess the feasibilities of a stepwise examination in female patients with pelvic floor dysfunction in an outpatient setting and to select urogynecological pessaries for pelvic organ prolapse and/or urinary incontinence (UI) in a well-argued manner, by using the current data available in the Russian and foreign literature. Material and methods. Publications in international scientific citation databases were sought and analyzed; an algorithm and schemes for selection of urogynecological pessaries were elaborated at the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Results. Urogynecological pessaries are first-line nonsurgical treatment for pelvic organ prolapse and UI in women. The authors present the practical algorithm of actions and scheme for the selection of urogynecological pessaries in relation to the manifestations of pelvic floor dysfunction, which have been developed on the basis of their experience in managing women with urogynecological pessaries at the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Conclusion. To optimize urogynecological pessary selection for patients, it is necessary to comply with the algorithm of sequential actions, including the functional evaluation after pessary placement, as well as a step for teaching the patient how to use a pessary independently.
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About the authors
Elena A. Gorbunova
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: el_gorbunova@oparina4.ru
obstetrician-gynecologist, a physiotherapist of the department gynecology and aesthetic rehabilitation
Anastasya A. Yamurzina
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: yamurzinanastya@mail.ru
resident of the 2nd year of study
Inna A. Apolikhina
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; First Moscow State Medical University, Ministry of Health of Russia
Email: i_apolikhina@oparina4.ru
MD, professor, obstetrician-gynecologist, a physiotherapist, head of the department gynecology and aesthetic rehabilitation; Professor, Department of Obstetrics, Gynecology, Perinatology and Reproductive
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