UROGYNECOLOGICAL PESSARIES: NEW MODELS ARE NEW POSSIBILITIES


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Resumo

Ministry of Health of Russia, Moscow The new types of urogynecological pessaries designed by the authors were made from high-grade silicone of definite elasticity and density, specially chosen for optimal pessary use. The distinctive property of the new pessaries is the presence of two or four half-round cuts on the outer surface of the ring with symmetric arrangements. The advantage of the new models of urogynecological pessaries over the existing ones is as follows: 1. There is additional fixation of the pessary in the vagina owing to the external cuts and there is no pessary displacement and descent during exercises, coughing, sneezing, or straining. 2. The ease and simplicity of vaginal compressibility of the pessary are increased when inserted into the vagina. 3. The possibility of developing bedsores and ulcers on the vaginal mucosa is decreased due to the reduced area of pessary contact with the vaginal wall. 4. The vaginal outflow tracts are enlarged. 5. The antimicrobial coating of the pessary contributes to the prevention of bacterial vaginal complications. 6. There are no allergic complications. 7. There is easy and painless pessary removal from the vagina.

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Sobre autores

I. APOLIKHINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University

Email: apolikhina@inbox.ru
Faculty for Postgraduate Professional Training of Physicians

M. SHNEIDERMAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: innamike@lmi.net

Bibliografia

  1. Аполихина И.А. Использование пессариев при урогинекологических заболеваниях. В кн.: XIII Всероссийский научный форум “Мать и дитя-2012”. M.; 2012.
  2. Манухин И.Б., Бурдули Г.М., Даянов Ф.В. и др. Пролапс гениталий. М.: МГМСУ; 2000. 112 с.
  3. Кулаков В.И., Савельева Г.М., Манухин И.Б. Гинекология. Национальное руководство. 2009.
  4. Diokno A.C., Borodulin G.A. A new vaginal speculum for pelvic organ prolapse quantification (POP-Q), Int. Urogynecol. J. Pelvic Floor Dysfunct. 2005; 16(5): 384-8.
  5. Шнейдерман М.Г. Лечебный гинекологический массаж. Практическое руководство для врачей. 2-е изд. М.: РИТМ; 2011.
  6. Burton G. Pessaries and prolapse. Sydney: University of Sydney; 2012.

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