Pessary Insertion: Non-Surgical Therapy Guide

Pessary Insertion is a minimally invasive surgical procedure used to treat pelvic organ prolapse, a condition where the pelvic organs bulge into the vaginal wall due to weakened pelvic floor muscles.

This procedure involves inserting a vaginal support device called a pessary to provide support to the prolapsed organs and alleviate symptoms such as urinary incontinence, pelvic pressure, and discomfort during intercourse.

If you are experiencing symptoms of pelvic organ prolapse, Pessary Insertion may be a suitable treatment option for you.

Indications of Pessary Insertion

Pessary Insertion surgery is recommended for women who have pelvic organ prolapse or bladder support issues.

  • Feeling a bulge or pressure in the vagina.
  • Urinary incontinence.
  • Difficulty emptying the bladder or bowels.
  • Painful intercourse.
  • Recurrent urinary tract infections.

If you are experiencing any of these symptoms, it is essential to consult a healthcare provider for an evaluation and discuss the possibility of Pessary Insertion surgery.

Steps involved in Pessary Insertion Surgery

The Pessary Insertion surgery typically involves the following steps:

  • Anesthesia: You will be given either local or general anesthesia to ensure you are comfortable during the procedure.
  • Insertion: The healthcare provider will insert the pessary into your vagina and position it to provide support to the prolapsed organs.
  • Adjustment: The pessary may need to be adjusted to ensure proper fit and comfort.
  • Post-operative care: You will be given instructions on how to care for the pessary and when to follow up with your healthcare provider.

The entire procedure usually takes less than an hour, and you can go home the same day.

Who will perform Pessary Insertion Surgery?

Pessary Insertion surgery is typically performed by a gynecologist or a urogynecologist, who are specialists in female urology and pelvic floor disorders.

These healthcare providers have the expertise and experience to diagnose and treat pelvic organ prolapse and other related conditions effectively.

Before undergoing Pessary Insertion surgery, make sure to choose a healthcare provider who is experienced in performing this procedure and has a good track record of success.

Preparing for Pessary Insertion Surgery

Before undergoing Pessary Insertion surgery, your healthcare provider will provide you with specific instructions on how to prepare for the procedure.

  • Avoiding food and drink for a certain period before the surgery.
  • Taking any prescribed medications as directed.
  • Arranging for someone to drive you home after the surgery.
  • Bringing comfortable clothing and personal items to the hospital.

It is essential to follow your healthcare provider's instructions closely to ensure a smooth and successful surgery.

Recovery after Pessary Insertion surgery

After Pessary Insertion surgery, you may experience some discomfort, mild bleeding, or vaginal discharge. These symptoms are normal and should subside within a few days.

  • Rest and avoid strenuous activities for a few days.
  • Use prescribed pain medications as needed.
  • Avoid sexual intercourse and use tampons until cleared by your healthcare provider.

It is crucial to attend all follow-up appointments and communicate any concerns or unusual symptoms with your healthcare provider promptly.

Before and After Pessary Insertion surgery

Before undergoing Pessary Insertion surgery, it is essential to discuss your expectations, concerns, and any questions you may have with your healthcare provider.

Make sure to understand the potential risks and benefits of the surgery and have realistic expectations about the outcomes.

After Pessary Insertion surgery, you may notice improvements in your symptoms, such as reduced pelvic pressure, improved bladder control, and enhanced quality of life.

However, it is vital to continue with post-operative care, including regular check-ups and pessary maintenance, to ensure long-term success and symptom relief.

If you have any concerns or questions before or after Pessary Insertion surgery, do not hesitate to reach out to your healthcare provider for guidance and support.

Your health and well-being are a top priority, and your healthcare provider is there to help you every step of the way.

 

Frequently Asked Questions

How long can I wear a pessary before needing to replace it?

You should have your pessary checked by your healthcare provider every 6-12 months to ensure it fits well and is in good condition.

How do I know if a pessary is the right option for me?

Your healthcare provider can help determine if a pessary is a suitable option for you based on your specific medical condition, symptoms, and preferences.

What are the risks associated with pessary use?

Risks associated with pessary use may include vaginal irritation, ulceration, and discharge. It's important to follow up with your healthcare provider regularly to monitor for any potential issues.

Will I need regular check-ups for pessary maintenance?

Yes, you will need regular check-ups with your healthcare provider to ensure proper fitting and maintenance of your pessary.

How should I clean my pessary?

To clean your pessary, wash it with mild soap and water, rinse it thoroughly, and let it air dry before reinserting it.

Can a pessary help with urinary incontinence?

Yes, a pessary can help support the bladder and urethra to reduce urinary incontinence symptoms.

How does a pessary help manage pelvic organ prolapse?

A pessary is a removable device that supports the pelvic organs to alleviate symptoms of pelvic organ prolapse, such as pressure or discomfort.

Is it uncomfortable to wear a pessary?

Wearing a pessary may cause some discomfort or pressure, but it should not be painful. If you experience pain or significant discomfort, contact your healthcare provider.

Can a pessary be used during sexual activity?

It is generally not recommended to use a pessary during sexual activity to avoid discomfort or displacement.

How long does it take to get used to a pessary?

It may take a few weeks for your body to adjust to a pessary. If you experience any discomfort or pain, consult your healthcare provider.