Urogynecological pessaries: practical skills for physicians
Objective. To assess the feasibilities of a stepwise examination in female patients with pelvic floor dysfunction in an outpatient setting and to select urogynecological pessaries for pelvic organ prolapse and/or urinary incontinence (UI) in a well-argued manner, by using the current data available in the Russian and foreign literature.Gorbunova E.A., Yamurzina A.A., Apolikhina I.A.
Material and methods. Publications in international scientific citation databases were sought and analyzed; an algorithm and schemes for selection of urogynecological pessaries were elaborated at the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
Results. Urogynecological pessaries are first-line nonsurgical treatment for pelvic organ prolapse and UI in women. The authors present the practical algorithm of actions and scheme for the selection of urogynecological pessaries in relation to the manifestations of pelvic floor dysfunction, which have been developed on the basis of their experience in managing women with urogynecological pessaries at the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
Conclusion. To optimize urogynecological pessary selection for patients, it is necessary to comply with the algorithm of sequential actions, including the functional evaluation after pessary placement, as well as a step for teaching the patient how to use a pessary independently.
Keywords
urogynecological pessaries
urinary incontinence
pelvic organ prolapse
pelvic organ descent
practical skills
algorithm
POP-Q classification
Supplementary Materials
References
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Received 28.04.2017
Accepted 23.06.2017
About the Authors
Gorbunova Elena A., obstetrician-gynecologist, a physiotherapist of the department gynecology and aesthetic rehabilitation, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: el_gorbunova@oparina4.ruYamurzina Anastasya A., resident of the 2nd year of study, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel. +79154482494. E-mail: yamurzinanastya@mail.ru
Apolikhina Inna A., MD, professor, obstetrician-gynecologist, a physiotherapist, head of the department gynecology and aesthetic rehabilitation, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; Professor, Department of Obstetrics, Gynecology, Perinatology and Reproductive,
First Moscow State Medical University, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: i_apolikhina@oparina4.ru
For citations: Gorbunova E.A., Yamurzina A.A., Apolikhina I.A. Urogynecological pessaries: practical skills for physicians. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (12): 115-21. (in Russian)
https://dx.doi.org/10.18565/aig.2017.12.115-121
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