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Pessary: A Non-Surgical Option for Pelvic Organ Prolapse

Pelvic Organ Prolapse (POP) is a condition where the pelvic floor muscles are not strong enough to support the pelvic organs, leading to the descent or prolapse of these organs, which can include the bladder, uterus, and parts of the vagina. A pessary is a device placed inside the vagina to support these organs and is considered when pelvic organs protrude, causing discomfort or other symptoms.

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Will a Pessary Help a Prolapsed Bladder?

Yes, a pessary can be effective in supporting a prolapsed bladder. It acts as a shelf to hold the bladder in place, alleviating the discomfort and symptoms associated with prolapse.

Will a Pessary Help with Constipation?

While pessaries primarily support prolapsed organs, they are generally not effective in directly treating constipation, which may occur due to a rectocele (weakening of the vaginal or rectal wall). Addressing constipation typically involves dietary changes, exercise, and sometimes medication.

Will a Pessary Help Incontinence?

A pessary can help manage incontinence, particularly stress urinary incontinence, by providing support and stabilizing the position of the bladder and urethra.

Why Use Pessaries?

A pessary is a non-surgical alternative to managing symptoms of POP. It's especially suitable for those who want to avoid surgery due to personal preference, medical reasons, or while waiting for a more permanent solution. It offers a temporary and adjustable solution that can significantly improve quality of life without the risks associated with surgery.

Can You Have Intercourse with a Pessary?

Yes, you can have intercourse with certain types of pessaries. The ring pessary, for example, can be left in place during intercourse without causing discomfort or interference. However, other types, like the Gellhorn pessary, are not designed to be worn during sexual activity and must be removed. It’s important to discuss with your healthcare provider about the best type of pessary for your lifestyle needs, including sexual activity.

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Who Places and Fits a Pessary?

We do. Dr. Sprock, a urogynecologist or a gynecologist, is responsible for placing and fitting a pessary. Proper fitting is crucial as an incorrectly sized pessary can cause discomfort and may not effectively support the pelvic organs.

Choose Central Florida UroGynecology for Your Care

If you are experiencing symptoms of POP or are considering a pessary, we highly recommend visiting Central Florida UroGynecology. Dr. Sprock and her team specialize in diagnosing and treating pelvic floor disorders and can provide expert guidance on whether a pessary fits you. They ensure personalized care and are dedicated to helping you manage your symptoms effectively. Remember, every case is unique, and at Central Florida UroGynecology, you can receive tailored treatment that suits your lifestyle and needs.

Pessaries and pelvic floor muscle training offer a viable non-surgical option to manage POP. It's important to discuss with a healthcare provider to choose the best course of action based on individual symptoms and lifestyle needs.

If you or someone you know is dealing with POP, consider scheduling an appointment with Dr. Sprock at Central Florida UroGynecology to explore your options and get the care you deserve.

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