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متابعة

What are the conservative methods of management of uretrovagainal prolapse?

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تم إضافة السؤال من قبل anifat oyekunle-yusuf , Medical Officer , Basic Health Center Oloje
تاريخ النشر: 2016/08/08
CP RAI
من قبل CP RAI , CONSULTANT/SPECIALIST , Ministry of Health , Maldives

Perineal exercises,  Pesaries,  Hormones trherapy

Hossam Shoeir
من قبل Hossam Shoeir , specialist gynecologist and Obstetrician , Alsalama Hospital abudhabi

conservative methods are reseved for women who are unfit or unwelling to undergo surgery , pessaries are the first line therapy ( may be used as diagnostic tool also) .

pessaries are either supportive like Ring pessaries effective in first and second degree prolapse, or space filling pessaries like the Gillhorn pessary  effective in moderate to severe prolapse.

complications for using pessaries include vaginal bleeding , discharge, atrophy, ulceration and pelvic pain.

second line therapy is the pelvic floar muscle excercise(kegel excercises) offered mainly to asymptomatic or mildly asymptomatic women and has a minimal risk and low cost , it includs regular muscle strength trainig excercises to build a muscle volume to support pelvic organs and another exercise aims to train patients to contract their pelvic muscle on increasing abdominal pressure to prevent pelvic organ prolapse.

Emmanuel Ngwoke
من قبل Emmanuel Ngwoke , Resident emergency medicine , King Khalid Civilian Hospital

Ring pessary,non weight bearing,kegel exercise

devia k
من قبل devia k , staff nurse , edappal hospitals

INTERNAL OS TIGHTENING(IOT),KEGEL EXERCISE

shazia iqbal
من قبل shazia iqbal , registrar in obs and gynae , university hospital waterford

pelvic floor muscle exercise

pessary (ring/shelf/donut)

aliaa abo soliman
من قبل aliaa abo soliman , al wehda medical center , al wehda medical center

kegle exercise for pelvic floor  muscle support,vaginal pessaries

topical estrogen 

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