Changes of intravaginal microbiota and inflammation after self‐replacement ring pessary therapy compared to continuous ring pessary usage for pelvic organ prolapse

2020 ◽  
Vol 46 (6) ◽  
pp. 931-938
Author(s):  
Kazuaki Yoshimura ◽  
Nobuo Morotomi ◽  
Kazumasa Fukuda ◽  
Tatsuhiko Kubo ◽  
Hatsumi Taniguchi
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Continuous Ring ◽  
Ring Pessary

scholarly journals Acceptance of ring pessary in pelvic organ prolapse

2019 ◽  
Vol 14 (2) ◽  
pp. 46-48
Author(s):  
Madhu Shrestha
Keyword(s):  
Patient Satisfaction ◽  
Retrospective Study ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Ring ◽  
Ring Pessary ◽  
Very High

Aims: To evaluate the use of pessaries for women with Pelvic Organ Prolapse irrespectivve POP-Q stages. Method: This is retrospective study conducted at Paropakar maternity and Women’s hospital from mid April to mid December 2018 on 114 women with pelvic organ prolapse. Result: Total of 114 women with prolapse evaluated. Age of presentation ranged from 36 to 85 years. Twenty cases (17.6%) underwent prolapsed surgery and 71 cases (62.2%) had ring pessary. Conclusion: Overall acceptance of vaginal ring pessary is very high. It can be used in the majority of women with patient satisfaction and without noteworthy complication.

Successful use of ring pessary with support for advanced pelvic organ prolapse

2015 ◽  
Vol 26 (10) ◽  
pp. 1517-1523 ◽  
Author(s):  
Jing Ding ◽  
Chun Chen ◽  
Xiao-chen Song ◽  
Lei Zhang ◽  
Mou Deng ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Ring Pessary ◽  
Advanced Pelvic Organ Prolapse

scholarly journals Transperineal ultrasound to estimate the appropriate ring pessary size for women with pelvic organ prolapse

2021 ◽  
Author(s):  
Claudia Manzini ◽  
Mariëlla I. J. Withagen ◽  
Frieda van den Noort ◽  
Anique T. M. Grob ◽  
Carl H van der Vaart
Keyword(s):  
Pelvic Organ Prolapse ◽  
Operating Characteristic ◽  
Pelvic Organ ◽  
Transperineal Ultrasound ◽  
Small Ring ◽  
Receiver Operating Characteristic Curves ◽  
Ring Pessary ◽  
Hiatal Area ◽  
Significant Difference ◽  
Control Study

Abstract Introduction and hypothesis The objective was to predict the successful ring pessary size based on the levator hiatal area (HA). Methods This is a prospective case–control study. Women with symptomatic pelvic organ prolapse (POP) choosing pessary treatment were included. All women underwent an interview, clinical examination, and 3D/4D transperineal ultrasound (TPUS). The ring pessary size used in each trial and the reason for unsuccessful trials were recorded. In addition, levator hiatal area divided by ring pessary size (HARP ratio) was measured at rest, maximum contraction, and maximum Valsalva. The HARP ratios of successful and unsuccessful trials were compared, receiver operating characteristic curves in the prediction of successful trials were constructed, and the cut-off optimizing sensitivity and specificity was identified. Results A total of 162 women were assessed and 106 were included with 77 successful trials, 49 unsuccessful trials owing to dislodgment or failure to relieve POP symptoms, and 20 unsuccessful trials owing to pain/discomfort. Rest HARP ratio and Valsalva HARP ratio were significantly smaller in the successful trials versus dislodgment/failure to relieve POP symptoms trials (mean rest HARP ratio [SD]: 2.93 [0.59] vs 3.24 [0.67], p = 0.021; median Valsalva HARP ratio (IQR): 4.65 (1.56) vs 5.32 (2.08), p = 0.004). No significant difference was observed between pain/discomfort trials and successful trials. The best cut-off for the prediction of successful trials was Valsalva HARP ratio ≤ 5.00. Conclusions Unsuccessful fitting trials due to dislodgment/failure to relieve POP symptoms are associated with a small ring pessary with respect to the levator HA. A ring pessary that produces a Valsalva HARP ratio > 5.00 has a higher risk of dislodgment/failure to relieve POP symptoms.

Effects of pelvic organ prolapse ring pessary therapy on intravaginal microbial flora

2015 ◽  
Vol 27 (2) ◽  
pp. 219-227 ◽  
Author(s):  
Kazuaki Yoshimura ◽  
Nobuo Morotomi ◽  
Kazumasa Fukuda ◽  
Toru Hachisuga ◽  
Hatsumi Taniguchi
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Microbial Flora ◽  
Ring Pessary

Predictors of successful ring pessary use in women with pelvic organ prolapse

2020 ◽  
Vol 60 (4) ◽  
pp. 579-584
Author(s):  
Friyan Turel Fatakia ◽  
Sarah Pixton ◽  
Jessica Caudwell Hall ◽  
Hans Peter Dietz
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Ring Pessary
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