Abstract

ESPITIA-DE LA HOZ, Franklin J.. Complications from the use of pessary with support and without support in the complete genital prolapse. Medicas UIS [online]. 2015, vol.28, n.3, pp.309-315. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v28n3-2015005.

Introduction: The prevalence of genital prolapse has increased; often it is asymptomatic, usually presents with symptoms of a vaginal "bulge". Treatment options include pelvic floor exercises, expectant management, the use of mechanical devices and surgical correction. Objectives: Evaluate the immediate and late complications of the use of pessary without support and with support in the conservative management of the entire genital prolapse. Materials and Methods: Descriptive, observational, transversal and comparative study. 108 medical records of patients treated by complete genital prolapse were reviewed and evaluated which were managed conservatively with pessaries supported (Group A: 9) and unsupported (Group B: 18). The two groups are compared taking into account the increased vaginal discharge, vaginal appearance of erosion and ulcers, impaction, fistulas, cytologic atypia, incarceration, hydronephrosis, vaginal infection and intestinal complications. Results: 27 patients were analyzed in total, 9 handled pessaries supported and 18 unsupported pessaries. There was significant difference in terms of vaginal discharge increasment with less secretion in unsupported use of pessaries (p = 0.045). A difference was found in the occurrence of erosion and vaginal ulcers (p < 0.05 ). Conclusions: There is a significant difference in terms of vaginal discharge increasment and occurrence of erosion and ulcers vaginal pessaries using unsupported compared with using supported pessaries. MÉD UIS. 2015;28(3):309-15.

Keywords : Pessaries; Indications; Organ Sparing Treatments; Pelvic Organ Prolapse; Uterine Prolapse.

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