By Thomas F. Baskett (auth.), Scott A. Farell BA, BEd, MD, FRCSC (eds.)
A worthwhile source for the overall healthiness care practitioner treating sufferers with incontinence and prolapse, Pessaries in medical Practice offers a entire evaluate of the facts con-cerning pessaries and the practicalities of utilizing them.The authors offer profiles of the inventors of a few of these on the whole used in addition to an outline in their unique reasons. The publication presents an important volume of proof assisting using pessaries for pelvic organ prolapse and incontinence. It is going directly to speak about the sensible matters concerned with the choice, becoming and care of the main popu-lar pessaries. The text-enhancing illustrations consultant choice, becoming and care and supply worthwhile details to proportion with patients.
This paintings is an important quick-reference guide for all urogynecologists, urologists, gynecologists, kinfolk physicians and strong point nurses.
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Extra resources for Pessaries in Clinical Practice
8. Dreger RB, Menzin AW, Mikuta JJ. The vaginal pessary: past and present. Postgrad Obstet Gynecol 1993;13:1–7. 9. Zeitlin MP, Lebherz TB. Pessaries in the geriatric patient. J Am Geriatr Soc 1992;40:635–640. 10. Poma PA. Nonsurgical management of genital prolapse; a review and recommendations for clinical practice. J Reprod Med 2000;45: 789–797. 11. Myers DL, LaSala CA, Murphy JA. Double pessary use in grade 4 uterine and vaginal prolapse. Obstet Gynecol 1998;91:1019–1020. 12. Singh K, Reid WM.
6. Brown JS, Waetjen LE, Subak LL, Thom DH, Van Den Eeden S, Vittinghoff E. Pelvic organ prolapse surgery in the United States, 1997. Am J Obstet Gynecol 2004;186:712–716. 7. Heit M, Rosenquist C, Culligan P, Graham C, Murphy M, Shott S. Predicting treatment choice for patients with pelvic organ prolapse. Obstet Gynecol 2003;101:1279–1284. 8. Clemons J, Aguilar VC, Sokol ER, Jackson ND, Myers DL. Patient characteristics that are associated with continued pessary use versus surgery after 1 year.
It is shaped very similarly to the inner tube of a tire. 6. The Shaatz pessary. 7. The donut pessary. 39 40 PESSARIES IN CLINICAL PRACTICE than that of the ring pessary and although it is soft, its shape and size cannot be modiﬁed signiﬁcantly to permit easy insertion into and removal from the vagina. The donut shares some of the advantages of the ring pessary. It will not sequester vaginal secretions and it is inserted directly into the vagina without any additional manipulation. Because its size cannot be reduced, it may cause signiﬁcant discomfort during insertion and removal.