Virginia Beach Obstetrics and Gynecology stands in solidarity with the African American community in condemning all racism, injustice, health care disparities, and discrimination. The deaths of George Floyd, Breonna Taylor, Ahmaud Arbery, and countless others have brought to the surface longstanding social and systemic injustice and discrimination that have been ignored and swept under the rug for far too long. We want our patients and our community to know that we see you, we hear you and we stand with you. We are committed to recognizing bias within the community, health care and in ourselves and strive to provide the best health care for all of our patients. Our mature population has seen and lived through so much and they deserve access to proper health care, housing, food and to live without the stress of discrimination. We want all of the babies we deliver to grow up in a world of tolerance, love, justice, and equal access to health care, education, jobs, freedom of religion, freedom of orientation, and the freedom to feel safe in America. Discrimination will not be tolerated and we will use our platform to help eliminate these disparities.
Pessaries are successfully used for the treatment of stress urinary incontinence and vaginal wall prolapse. These are plastic devices typically made of silicon, similar to vaginal contraceptive diaphragms, which are used to either liftand support the vaginal walls.
Success: About half of the women who are successfully fitted with a pessary will continue to use it on a long-term basis. Typical incontinence pessary users are women who
- Need temporary help with urine leakage during exercise
- Have mild symptoms and want to avoid surgery for the moment
- Have health problems that make the risks of surgery too great
- Need to delay surgery and are uncomfortable from their incontinence
Contraindications to using a pessary:
- vaginal scarring
- surgically narrowed or shortened vagina
- very weak pelvic floor muscles
Pessaries do require ongoing care to avoid problems with vaginal infection, ulceration or bleeding. A neglected pessary can result in erosions through the vaginal wall into the bladder or rectum.
Because incontinence pessaries often apply some pressure on the urethra to prevent urine leakage, ideally a woman is taught to remove, clean and reinsert her pessary on a regular basis. Frequently, vaginal estrogen cream, tablets or a ring are prescribed to women who use a pessary to strengthen the vaginal skin, especially for those in menopause. This will reduce the risk of developing a vaginal skin erosion or ulceration.
Examples of Pessaries