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Re: GYNECOLOGIC: Pelvic Prolapse -Pessary: What It Is, How to Use One

From: Hope Waltman (anonymous@obgyn.net)
Sun, 23 Dec 2007 20:33:20 -0600 (CST)


Pessary: What It Is and How to Use One

"A pessary is a plastic ring, similar to a contraceptive diaphragm, that is worn in the vagina. It will help support the walls of the vagina, lifting the bladder and nearby urethra, leading to less stress leakage."

http://familydoctor.org/online/famdocen/home/women/reproductive/gynecologic/578.printerview.html

What I need to know about Bladder Control for Women

http://kidney.niddk.nih.gov/kudiseases/pubs/bcw_ez/index.htm

Hope, WH Forum Moderator

At Wed, 19 Dec 2007, William F. von Almen, II, MD, FACOG wrote: >Bubbley
>
>Not much to add. Some people have weak fascial support to their pelvic
>organs and this can happen. A well fit pessary can be a godsend. My
>advice would be to have a child or children quickly and then you will
>probably need a hysterectomy with careful attention paid to maximal
>support issues...Dr. von Almen
>
>At Wed, 19 Dec 2007, bubbley wrote:
>>
>>I am 26 years old with pelvic prolapse.Protrusions out of the vagina and
>>rectum. I have never had kids and have been to 5 doctorsa; a
>>gastroenterologist, 2 physicians, a colorectal surgeon, my OBGYN and a
>>pelvic surgeon- I am very uncomfortable wearing a pessary, it feels like
>>it may be pushing against my rectum which does not help matters since i
>>couldnt go to the bathroom well to begin with. The Pelvic surgeon i see
>>has me trying my second pessary, i am not comfortable at all and would
>>like to still have kids in 3 years or so. Im at a loss since this
>>condition usually happens to people who have had kids and/ or are older.
>>Please help. Any advice would be greatly appreciated.
>--
> Note: Opinions expressed here are for educational purposes
> only and, as such, do not constitute a physician-patient
> relationship. This information is not intended to supplant
> the need for you to consult with your physician prior to
> choosing therapeutic options and/or interventions.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>






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