Benefits, harms, and costs
- 1Most women can be successfully fitted with a pessary to treat the symptoms of pelvic organ prolapse or stress urinary incontinence (II-2).
- 2Satisfaction rates for pessary use are very high (I).
- 3Some vaginal pessaries may prevent recurrence of incarcerated uterus (III).
- 4The role of pessaries specifically designed to prevent preterm labour is not yet elucidated (I).
- 5Complications associated with pessary use are usually minor, with vaginal discharge being the most common problem (II-3).
- 6Vaginal erosions can be treated with removal of the pessary and optional vaginal estrogen supplementation (II-2).
- 1Pessaries should be considered in all women presenting with bothersome pelvic organ prolapse and/or stress urinary incontinence (I, A).
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This document reflects emerging clinical and scientific advances as of the publication date and is subject to change. The information is not meant to dictate an exclusive course of treatment or procedure. Institutions are free to amend the recommendations. The SOGC suggests, however, that they adequately document any such amendments.
Informed consent: Everyone has the right and responsibility to make informed decisions about their care together with their health care providers. In order to facilitate this, the SOGC recommends that health care providers provide patients with information and support that is evidence-based, culturally appropriate, and personalized.
Language and inclusivity: This document uses gendered language in order to facilitate plain-language writing but is meant to be inclusive of all individuals, including those who do not identify as a woman/female. The SOGC recognizes and respects the rights of all people for whom the information in this document may apply, including but not limited to transgender, non-binary, and intersex people. The SOGC encourages health care providers to engage in respectful conversation with their patients about their gender identity and preferred gender pronouns and to apply these guidelines in a way that is sensitive to each person's needs.
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