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Re: Pessary From: ainsron@msn.com Wed Jan 30 21:31:24 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: Droperidol" Previous message: ainsron@msn.com: "Re: Amnioinfusion" In reply to: Steve & Eryl Raymond: "Re: Pessary" Next in thread: Joanne Bulley, MD: "Re: Pessary" Actually, I've found that new ones are very rarely required. Even if they become discolored from the cleaning with betadine, they don't tend to lose their shape or flexability. The only ones that have required regular replacement are the inflatoball pessaries, the stem becomes hardened and does not seal after awhile. >Used to use these only as a stop gap while the patient was on a waiting list for >surgery, so the question of what to do long-term raely arose, but I have had one >or two women so afraid of surgery that they have kept them indefinitely. In >those cases, if they can't or won't clean them themselves, I would do it for >them every three months. Usually, a new one would be required after about the >third time. >stray > >ainsron@msn.com wrote: > >> 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 > >Dr.S.H. Raymond >Head of Department of O & G >Empangeni Hospital >South Africa 3880 >Phone: (+27) 35-7721111 >Fax: (+27) 35-7922596 -- Ronald E. Ainsworth, MD Next message: ainsron@msn.com: "Re: Droperidol" Previous message: ainsron@msn.com: "Re: Amnioinfusion" In reply to: Steve & Eryl Raymond: "Re: Pessary" Next in thread: Joanne Bulley, MD: "Re: Pessary"

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