The Manual for the Clinical Application of Pessaries clearly puts forward a new perspective. To help gynecologists choose different types of pessaries for prolapse and urinary incontinence. The Pessary Clinical Application Manual explains in detail the selection, placement and removal of the most common pessaries. The potentially striking conclusion of the Manual for Clinical Use of Pessaries is that modern pessaries should become a major modality in the treatment of pelvic organ prolapse and urinary incontinence. In fact, female patients are more receptive to pessaries than medical professionals think. Creating a medical team that understands pessary care and can implement simple pessary care procedures will make the healthcare provider's job easier. Pessaries are effective for pelvic organ prolapse and urinary incontinence. Newer anti-incontinence pessaries are very reasonable and easy to use. The Manual for the Clinical Use of Pessaries hopes to provide detailed guidance on the placement and care of common pessaries, strive to change the views of those who are skeptical about pessaries, enable them to accept pessaries and use them as part of their clinical care, and also enhance the confidence of doctors who are already using pessaries on a regular basis. It is hoped that the clinical application manual of pessary can help clinicians understand the functions of pessary and also help those doctors who already have experience in the use of pessary. Pessary is a conservative treatment for pelvic dysfunction. People began to use pessaries to treat pelvic organ prolapse as early as the 20th century. As an alternative to high-risk surgery, pessary is a convenient and safe treatment method for frail or elderly patients with symptomatic vaginal prolapse, recurrence after pelvic reconstruction surgery, and patients who are afraid of surgery. A pessary is made of silicone material, which is non-toxic, non-irritating, simple, safe, economical, and easy for patients to accept. Different types and models of pessaries are selected according to the degree and location of the patient's organ prolapse. Choosing the right pessary is an important part of treating organ prolapse. Pessaries are suitable for mild to moderate uterine prolapse, vaginal wall bulging and urinary incontinence. They are also suitable for elderly, frail and sick patients with symptomatic uterine and vaginal prolapse. They can also be used as a preventive measure for failed pelvic repair and plastic surgery. Common complications during pessary use: vaginal abrasion (bleeding) and abnormal secretion. The use and care of pessaries require training and guidance and regular follow-up visits so that patients can successfully use this simple and safe treatment tool to restore the effect and improve the current quality. |
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