What is Pessary Insertion?

Pessary insertion is a non-surgical treatment used to manage pelvic organ prolapse (POP) and urinary incontinence. A pessary is a medical device, typically made of silicone, that is inserted into the vagina to provide support to the pelvic organs. This device helps to alleviate symptoms associated with pelvic organ prolapse, such as discomfort, urinary issues, and pressure in the pelvic area.

The Pessary Insertion Process: Step-by-Step

1. Initial Consultation and Examination

During the initial consultation, the doctor will perform a thorough pelvic examination to assess the extent of the prolapse and determine if a pessary is a suitable treatment option. The doctor will also discuss the patient’s symptoms, medical history, and lifestyle.

2. Choosing the Right Pessary

Pessaries come in various shapes and sizes to accommodate different needs and anatomical structures. The doctor will choose the appropriate pessary based on the type and severity of the prolapse and the patient’s comfort.

3. Inserting the Pessary

The pessary is folded and gently inserted into the vagina. The doctor ensures that it is positioned correctly to provide adequate support to the pelvic organs. The insertion process is typically quick and can be performed in the doctor’s office.

4. Adjusting and Fitting

After insertion, the doctor will check the fit of the pessary to ensure it is comfortable and effective in alleviating symptoms. Adjustments may be made to find the best fit for the patient.

5. Patient Education and Follow-Up

The patient is educated on how to care for and maintain the pessary, including instructions on cleaning and removing it. Regular follow-up appointments are scheduled to monitor the patient’s progress and make any necessary adjustments to the pessary.

Benefits of Pessary Insertion

  • Non-Surgical Option: Provides relief without the need for surgery.
  • Symptom Relief: Alleviates discomfort, urinary issues, and pelvic pressure associated with pelvic organ prolapse.
  • Customizable Fit: Various shapes and sizes ensure a comfortable and effective fit.
  • Reversible: Can be removed if not needed or if symptoms improve.

How Dr. Ravina Bhesania Can Help

Dr. Ravina Bhesania is a renowned gynecologist in Surat, India, specializing in the treatment of pelvic organ prolapse and urinary incontinence. With extensive experience in pessary insertion, Dr. Bhesania offers personalized care to ensure the best outcomes for her patients. She provides comprehensive consultations, thorough examinations, and tailored treatment plans to meet each patient’s unique needs. Dr. Bhesania is committed to helping women achieve improved quality of life through effective and non-invasive treatment options.

FAQs

 A pessary is primarily used to treat pelvic organ prolapse and urinary incontinence. It can also be helpful for conditions such as cystocele, rectocele, and uterine prolapse.

 Pessary insertion is generally not painful. Some patients may experience mild discomfort during the initial fitting, but this usually subsides once the pessary is in place.

 The frequency of cleaning depends on the type of pessary and the doctor’s recommendations. Typically, a pessary should be removed, cleaned, and reinserted every few weeks. Some types may require more frequent maintenance.

Many women can have sexual intercourse with a pessary in place, but it depends on the type of pessary used. Discuss with your doctor to determine the best option for you.

While generally safe, there are potential risks such as vaginal irritation, infection, or ulceration if the pessary is not properly maintained. Regular follow-ups with your doctor can help mitigate these risks.

Signs of an ill-fitting pessary include persistent discomfort, pain, difficulty with urination, or unusual vaginal discharge. If you experience any of these symptoms, contact your doctor for an adjustment.

Conclusion

Pessary insertion is a highly effective and non-surgical treatment option for managing pelvic organ prolapse and urinary incontinence. With the expertise of specialists like Dr. Ravina Bhesania in Surat, India, patients can receive personalized care and support to improve their quality of life. If you are experiencing symptoms of pelvic organ prolapse or urinary incontinence, contact Dr. Ravina Bhesania for a consultation and explore your options for pessary insertion.

Contact Dr. Ravina Bhesania for a consultation and personalized pessary insertion care today.