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Re: PessaryFrom: Virginia SanMiguel (vsm@ICSI.net)Wed Jan 30 11:09:58 2002
I have a good number of elderly patients who are unable to remove and reinsert their own pessary. I've had no luck with Home Health nurses providing the service. I start with a one week follow-up then extend that to 6,8 weeks and sometimes 12 weeks and bring them in for removal, cleaning, douche and reinsertion. Patients like it. It gives me a chance to check for vaginitis and UTI for which these patients have a propensity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of ainsron@msn.com Sent: Wednesday, January 30, 2002 9:20 AM To: Multiple recipients of list OB-GYN-L Subject: Pessary Many of the older patients I see and fit for pessaries are unable/unwilling to remove, clean and reinsert their own pessaries. In those circumstances, I usually have them return in a week to remove, clean and reinsert the pessary in the office. If they are doing well, I will usually repeat it in a month, then go to two months. I've never seen any guidelines on this, other than the usual instructions to the patient to remove, clean and reinsert her pessary ~weekly. It seems to work well and the patients don't tend to get into trouble. What are others doing with these patients?
-- Ronald E. Ainsworth, MD
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