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Pessary

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https://www.readbyqxmd.com/read/29920812/can-previous-preterm-birth-classification-influence-treatment-of-short-cervix-in-a-subsequent-pregnancy-comparison-of-vaginal-progesterone-and-arabin-pessary
#1
Angharad Care, Bertram Muller-Myhsok, Elena Olearo, Tullia Todros, Javier Caradeux, Maria Goya, Montse Palacio, Elena Carreras, Zarko Alfirevic
OBJECTIVE: The aim of this study was to investigate whether the classification of a previous spontaneous preterm birth (sPTB) into; i) sPTB or ii) PPROM, impacts the efficacy of cervical pessary or vaginal progesterone in pregnant women with short cervix on transvaginal ultrasound. METHODS: Four European hospitals using pessary or vaginal progesterone as a primary PTB prevention treatment for asymptomatic high-risk singletons with a short cervix, provided retrospective cohort data...
June 19, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29885711/nonsurgical-treatment-options-for-women-with-pelvic-organ-prolapse
#2
REVIEW
Christina Tso, Wah Lee, Tammy Austin-Ketch, Harvey Winkler, Bruce Zitkus
Pelvic organ prolapse is a medical condition that can cause pelvic discomfort as well as urinary and bowel complications. Approximately 25% of women in the United States and roughly 50% of women worldwide develop this condition. Although pelvic organ prolapse is usually a non-life-threatening condition, it can result in decreased self-confidence and negative body image. Physical and emotional sequelae can limit physical activity, and decreased productivity could be a consequence. Evidence from the literature indicates that pessary use and pelvic floor muscle training are effective options when conservative treatment is desired...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29804334/-prevention-of-preterm-birth-in-twins-with-short-mid-trimester-cervical-length-less-than-25mm-combined-treatment-with-arabin-s-cerclage-pessary-and-intravaginal-micronized-progesterone-compared-with-conservative-treatment
#3
Ariel Zimerman, Ron Maymon, Yfat Viner, Noa Glick, Arie Herman, Ortal Neeman
BACKGROUND: Twin pregnancies with short mid-trimester cervical length have a high rate of preterm births. OBJECTIVES: To compare combined treatment of Arabin cerclage pessary, and intravaginal micronized progesterone to conservative treatment for the prevention of preterm births in twins pregnancies with short cervical length in second trimester of pregnancy. METHODS: A retrospective study that compared twin pregnancies with short ≤25mm cervix in second trimester 16-28 gestational weeks treated with combined treatment of Arabin cervical pessary and intravaginal micronized progesterone 200mg TID to a control group with conservative treatment for the prevention of preterm...
May 2018: Harefuah
https://www.readbyqxmd.com/read/29786947/does-general-experience-affect-self-assessment
#4
Parisa Rezaiefar, Kelly Forse, Joseph K Burns, Sharon Johnston, Elizabeth Muggah, Claire Kendall, Douglas Archibald
BACKGROUND: The assessment of clinical competence is critical in medical education. Understanding the effect of general experience on a physician's self-assessment would help design more effective curricula and evaluations of procedural skills in postgraduate training and continuing professional development (CPD). In this observational study, we assessed the effect of general experience on the correlation between confidence and competence amongst experienced clinicians (ECs) and postgraduate trainees (PGTs) when learning an office-based procedure in pessary care...
May 22, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29786534/-the-gynecological-pessary-is-it-really-a-device-of-another-age-a-fig-leaf
#5
E Nohuz, E Jouve, G Clement, B Jacquetin
OBJECTIVES: The use of pessary to put back up prolapsed organs to their normal position dates back prior to several millennia. This work aims to discuss its place in our clinical practice through an updated bibliographic review and emphasizes a hands-on approach to pessary fitting and management in terms of indication, pessary type selection, device' size, insertion, removal, follow-up visits and care. METHODS: A review of the literature, in the light of the latest publications and recommendations of French and international learned societies, as well as our own experience, were analyzed...
May 18, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29779520/person-centered-care-for-patients-with-pessaries
#6
REVIEW
Gwendolyn L Hooper
Pelvic organ prolapse is a common condition affecting women of any age but more likely to occur in the aging woman. Prolapse has a significant impact on quality of life, sexuality, and body image. Vaginal support pessaries have been used since ancient times and are a safe and effective nonsurgical treatment option. Fitting a pessary results in immediate symptom improvement. A comprehensive evaluation for pessary fitting is time intensive but necessary. Nurse providers perform direct pessary care and have a role in caring for women with prolapse expanding access to care...
June 2018: Nursing Clinics of North America
https://www.readbyqxmd.com/read/29742664/surgical-alteration-of-genital-hiatus-size-and-anatomic-failure-after-vaginal-vault-suspension
#7
Monique H Vaughan, Nazema Y Siddiqui, Laura K Newcomb, Alison C Weidner, Amie Kawasaki, Anthony G Visco, Megan S Bradley
OBJECTIVE: To compare anatomic outcomes after native tissue vaginal vault suspension among women categorized by their preoperative and 6-week postoperative genital hiatus size. METHODS: We performed a retrospective cohort study in women who underwent native tissue vaginal vault suspension between 2005 and 2015. We defined a wide genital hiatus as 4 cm or greater and a normal genital hiatus as less than 4 cm. We compared three groups: 1) women with a wide genital hiatus preoperatively and 6 weeks postoperatively (persistently wide group), 2) women with a wide genital hiatus preoperatively but normal genital hiatus 6 weeks postoperatively (improved group), and 3) women with a normal genital hiatus preoperatively and 6 weeks postoperatively (stably normal group)...
June 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29715351/cervical-pessary-and-spontaneous-preterm-birth-reply
#8
LETTER
Pasquale Martinelli, Gabriele Saccone
No abstract text is available yet for this article.
May 1, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29715349/cervical-pessary-and-spontaneous-preterm-birth
#9
LETTER
Jim Thornton
No abstract text is available yet for this article.
May 1, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29713205/pessary-use-in-stress-urinary-incontinence-a-review-of-advantages-complications-patient-satisfaction-and-quality-of-life
#10
REVIEW
Ghadeer Al-Shaikh, Sadiqa Syed, Somaia Osman, Abdulrahman Bogis, Ahmed Al-Badr
Stress urinary incontinnce (SUI) is a common condition among women. The usual approach to treatment of SUI is a stepwise plan from conservative to surgical procedures. A vaginal pessary is one of the commonly used conservative treatments that offer symptomatic improvement for women with incontinence. This review provides a critical analysis of the benefits and shortcomings offered by vaginal pessaries to patients affected by SUI, with a particular focus on indications, advantages, quality of life, patient satisfaction, and potential complications...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29705767/shared-research-priorities-for-pessary-use-in-women-with-prolapse-results-from-a-james-lind-alliance-priority-setting-partnership
#11
Kate Lough, Suzanne Hagen, Doreen McClurg, Alex Pollock
OBJECTIVES: To identify the shared priorities for future research of women affected by and clinicians involved with pessary use for the management of prolapse. DESIGN: A priority setting project using a consensus method. SETTING: A James Lind Alliance Pessary use for prolapse Priority Setting Partnership (JLA Pessary PSP) conducted from May 2016 to September 2017 in the UK. PARTICIPANTS: The PSP was run by a Steering Group of three women with experience of pessary use, three experienced clinicians involved with management of prolapse, two researchers with relevant experience, a JLA adviser and a PSP leader...
April 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29704487/cervical-pessary-to-reduce-preterm-birth-before-34-weeks-of-gestation-after-an-episode-of-preterm-labor-and-a-short-cervix-a-randomized-controlled-trial
#12
Laia Pratcorona, Maria Goya, Carme Merced, Carlota Rodó, Elisa Llurba, Teresa Higueras, Luis Cabero, Elena Carreras
BACKGROUND: To date, no intervention has proved effective in reducing the spontaneous preterm birth rate in singleton pregnancies following an episode of threatened preterm labor and short cervix remaining. OBJECTIVE: This study was designed to ascertain whether cervical pessaries could be useful in preventing spontaneous preterm birth in women with singleton pregnancies and a short cervix after a threatened preterm labor episode. STUDY DESIGN: This open randomized controlled trial was conducted in 357 pregnant women (between 240 and 336 weeks) who had not delivered 48h after a threatened preterm labor episode and had a short cervix remaining (≤25 mm at 240 -296 weeks; ≤15mm at 300 -336 weeks)...
April 25, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29700950/predictors-for-unsuccessful-pessary-fitting-in-women-with-symptomatic-pelvic-organ-prolapse-a-prospective-study
#13
M Mao, F Ai, Y Zhang, J Kang, S Liang, T Xu, L Zhu
OBJECTIVE: To evaluate the success rate of vaginal pessary fitting and identify the risk factors associated with unsuccessful pessary fitting in a large cohort of patients with symptomatic pelvic organ prolapse (POP). DESIGN: Prospective observational study. SETTING: The Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Beijing, China. POPULATION: Women with symptomatic POP between May 2015 and December 2016 (n = 343)...
April 26, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29670041/comparative-evaluation-of-arabin-pessary-and-cervical-cerclage-for-the-prevention-of-preterm-labor-in-asymptomatic-women-with-high-risk-factors
#14
Panagiotis Tsikouras, George Anastasopoulos, Vasileios Maroulis, Anastasia Bothou, Anna Chalkidou, Dorelia Deuteraiou, Xanthoula Anthoulaki, Georgios Tsatsaris, Arzou Halil Bourazan, George Iatrakis, Stefanos Zervoudis, Georgios Galazios, Lola-Katerina Inagamova, Roland Csorba, Alexander-Tobias Teichmann
OBJECTIVE: Preterm labor is one of the most significant obstetric problems associated with high rate of actual and long-term perinatal complications. Despite the creation of scoring systems, uterine activity monitoring, cervical ultrasound and several biochemical markers, the prediction and prevention of preterm labor is still a matter of concern. The aim of this study was to examine cervical findings for the prediction and the comparative use of Arabin pessary or cerclage for the prevention of preterm birth in asymptomatic women with high risk factors for preterm labor...
April 18, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29561415/successful-use-of-pessary-for-uterine-prolapse-after-pelvic-trauma-in-a-nulliparous-young-female-a-case-report
#15
Fang-Fang Ai, Meng Mao, Ye Zhang, Jia Kang, Lan Zhu
RATIONALE: To date, sporadic studies have shown that a relationship exists between delayed pelvic organ prolapse (POP) and pelvic trauma, and these cases have all been managed with surgical procedures. PATIENT CONCERNS: A 29-year-old, nulliparous (Gravida 0) woman without sexual experience was referred to our gynecology outpatient clinic, complaining of a protruding vaginal mass 5 years after a traffic accident (hit by a truck when she was walking) that caused serious multiple injuries...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29539932/re-natural-history-of-pessary-use-in-women-aged-65-74-versus-75-years-and-older-with-pelvic-organ-prolapse-a-12-year-study
#16
Tomas L Griebling
No abstract text is available yet for this article.
May 2017: Journal of Urology
https://www.readbyqxmd.com/read/29502352/surgery-for-women-with-posterior-compartment-prolapse
#17
REVIEW
Alex Mowat, Declan Maher, Kaven Baessler, Corina Christmann-Schmid, Nir Haya, Christopher Maher
BACKGROUND: Posterior vaginal wall prolapse (also known as 'posterior compartment prolapse') can cause a sensation of bulge in the vagina along with symptoms of obstructed defecation and sexual dysfunction. Interventions for prevention and conservative management include lifestyle measures, pelvic floor muscle training, and pessary use. We conducted this review to assess the surgical management of posterior vaginal wall prolapse. OBJECTIVES: To evaluate the safety and effectiveness of any surgical intervention compared with another surgical intervention for management of posterior vaginal wall prolapse...
March 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29495355/semi-solid-and-solid-dosage-forms-for-the-delivery-of-phage-therapy-to-epithelia
#18
REVIEW
Teagan L Brown, Steve Petrovski, Hiu Tat Chan, Michael J Angove, Joseph Tucci
The delivery of phages to epithelial surfaces for therapeutic outcomes is a realistic proposal, and indeed one which is being currently tested in clinical trials. This paper reviews some of the known research on formulation of phages into semi-solid dosage forms such as creams, ointments and pastes, as well as solid dosage forms such as troches (or lozenges and pastilles) and suppositories/pessaries, for delivery to the epithelia. The efficacy and stability of these phage formulations is discussed, with a focus on selection of optimal semi-solid bases for phage delivery...
February 26, 2018: Pharmaceuticals
https://www.readbyqxmd.com/read/29478114/effectiveness-of-a-continuous-use-ring-shaped-vaginal-pessary-without-support-for-advanced-pelvic-organ-prolapse-in-postmenopausal-women
#19
José Luis Dueñas, Alessio Miceli
INTRODUCTION AND HYPOTHESIS: There is considerable variation in the clinical management of pessaries. This study was aimed at exploring the efficacy of the continuous use of ring pessaries without support for the treatment of advanced pelvic organ prolapse (POP) in nonhysterectomized postmenopausal women. METHODS: We conducted this prospective study of fitted pessaries between January 2013 and June 2015 in the Department of Obstetrics and Gynecology at Macarena Hospital, Seville University, Spain...
February 24, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29478112/effect-of-generalized-anxiety-disorders-on-the-success-of-pessary-treatment-for-pelvic-organ-prolapse
#20
Fang-Fang Ai, Meng Mao, Ye Zhang, Jia Kang, Lan Zhu
INTRODUCTION AND HYPOTHESIS: Our aim was to evaluate the impact of generalized anxiety disorders (GAD) on the effectiveness of pessary treatment for pelvic organ prolapse (POP) in postmenopausal women. METHODS: One-hundred and ten women with symptomatic POP who underwent pessary treatment were enrolled in this prospective study. Subjective evaluations of pelvic floor symptoms were assessed using the Pelvic Floor Distress Inventory (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7), both at baseline and at the 3-month follow-up visit after pessary use...
February 24, 2018: International Urogynecology Journal
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