A pessary is a 阴道l device provides a non-surgical technique to treat the following:
The pessary 阴道l device is most commonly made of a soft material called silicone, that fits into your 阴道 and supports the bladder, 阴道, 还有子宫和直肠. Pessaries come in many shapes and sizes. Your doctor or nurse practitioner will fit the appropriate pessary for you.
Pessaries may be used for the treatment of pelvic organ prolapse (POP). Some pessaries can be useful for the treatment of incontinence. 有时, pessaries are used for short-term relief until surgery is scheduled or to see how the bladder behaves with additional pelvic support.
使用托具
Your urogynecology provider will you learn about your pessary:
- 当你第一次得到子宫托的时候, you will be asked to come back for a checkup within a few weeks, 之后每隔几个月.
- You can wear your pessary for days or months at a time before it needs to be removed and cleaned. Some women take care of the pessary themselves, while other women prefer to have the pessary managed by a health care provider.
- If your pessary falls out, it may mean it is too small. Ask your doctor for a refitting if this continues to happen.
如果你喜欢自己的子宫
- 你会被教导如何移除它.
- You should remove and clean the pessary every two weeks.
- 你应该把它放在外面过夜.
- 联系 your provider if you have any trouble inserting or removing your pessary, or if you notice any 阴道l bleeding, 或异常放电.
Seeing your health care provider for your pessary
- If you are not managing your pessary on your own, you should see your provider regularly.
- The pessary will be checked to make sure it is giving you good support and is not causing any injury to the 阴道l tissue.
- 每次访问时, your pessary will be removed and cleaned, your 阴道l tissue will be inspected, 子宫托将被重新插入.
- It is very important to follow the instructions about when to return to have your pessary checked.
- At first you may need to return to the clinic more often, although we will gradually increase the time between your visits; however, you should never go longer than four to six months between visits.
我怎么知道子宫托起作用了?
- You should not be aware of the pessary once it is in place.
- You should be able to attend to your normal activities without discomfort.
- The pessary should provide support to your weak tissue without causing you any pressure or pain.
- If the pessary is too big, you may feel some pressure or discomfort.
- 如果子宫托太小, it may not provide enough support or may move out of position or fall out with a hard strain or activity.
我需要雌激素吗??
We may suggest that you use 阴道l estrogen. This comes in a cream, tablet, or a 阴道l ring. Vaginal estrogen can help prevent irritation or breakdown of the 阴道l tissue. Vaginal estrogen can also help increase 阴道l lubrication and elasticity, which may also make the removal and insertion of the pessary more comfortable.
性活动和子宫托
Some women are able to have intercourse with the pessary in place, while other women find it uncomfortable. We encourage women who want to have intercourse to learn how to manage their pessary on their own so that they can remove it if necessary.
子宫托风险
The only major health risk of the pessary is if the pessary is not checked at regular intervals. There are rare reports of pessaries disturbing the 阴道l skin and pressing into the surrounding structures, 比如直肠或膀胱. With regular checks, this should not be a risk. Minor risks may include difficulty voiding or not emptying your bladder. You may experience an increase in urine leakage or a minor breakdown of the 阴道l tissue. Inflammation or 阴道l bleeding may also occur. 如果您需要，请立即打电话:
- 无法排尿
- 无法排便
- 有严重的气味或分泌物
- 阴道出血或点滴出血
- Have 阴道l or rectal pain or pressure
If the pessary falls out, you can call to get it replaced or refitted.