ABSTRACT
This document has been archived because it contains outdated information. It should not be consulted for clinical use, but for historical research only. Please visit the journal website for the most recent guidelines.
Ce document a été archivé, car il contient des informations périmées. Il ne devrait pas être consulté pour un usage clinique, mais uniquement pour des recherches historiques. Veuillez consulter le site web du journal pour les directives les plus récentes.
Subject(s)
Pelvic Organ Prolapse/therapy , Pessaries , Urinary Incontinence/therapy , Canada , Female , Humans , Patient Satisfaction , Pessaries/adverse effects , Pessaries/classification , Randomized Controlled Trials as Topic , Treatment Outcome , Vaginal Discharge/etiology , Vaginal Discharge/therapyABSTRACT
Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP (). Although POP can occur in younger women, the peak incidence of POP symptoms is in women aged 70-79 years (). Given the aging population in the United States, it is anticipated that by 2050 the number of women experiencing POP will increase by approximately 50% (). The purpose of this joint document of the American College of Obstetricians and Gynecologists and the American Urogynecologic Society is to review information on the current understanding of POP in women and to outline guidelines for diagnosis and management that are consistent with the best available scientific evidence.
Subject(s)
Gynecologic Surgical Procedures , Pelvic Organ Prolapse , Pessaries , Quality of Life , Sexual Dysfunction, Physiological , Urinary Incontinence , Aged , Female , Gynecologic Surgical Procedures/adverse effects , Gynecologic Surgical Procedures/instrumentation , Gynecologic Surgical Procedures/methods , Gynecological Examination/methods , Humans , Middle Aged , Pelvic Organ Prolapse/classification , Pelvic Organ Prolapse/complications , Pelvic Organ Prolapse/therapy , Pessaries/adverse effects , Pessaries/classification , Risk Assessment/methods , Severity of Illness Index , Sexual Dysfunction, Physiological/etiology , Sexual Dysfunction, Physiological/psychology , Symptom Assessment/methods , Treatment Outcome , Urinary Incontinence/diagnosis , Urinary Incontinence/etiologySubject(s)
Pessaries , Urinary Incontinence/prevention & control , Uterine Prolapse/prevention & control , Equipment Design , Female , Humans , Nurse Practitioners , Nurse's Role , Patient Acceptance of Health Care/psychology , Patient Selection , Pessaries/adverse effects , Pessaries/classification , Pessaries/statistics & numerical data , Pessaries/supply & distribution , Prosthesis Fitting , Treatment Outcome , Women/education , Women/psychology , Women's HealthABSTRACT
Pelvic floor disorders are known to increase with age. With the number of elderly women more than doubling in the coming decades, gynecologists will need to be skilled in the assessment and treatment of these conditions. Conservative forms of therapy such as pessaries can often be successfully employed. These devices are well suited for elderly patients as they are noninvasive with minimal risk, provide immediate relief of symptoms, and are cost-effective compared with surgery. Although there are some downsides in using pessaries in clinical practice, many of these pitfalls can be appropriately addressed with education and training of clinician and patients.