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Pessaries in the geriatric patient.

M P Zeitlin1, T B Lebherz

  • 1UCLA Department of Medicine.

Journal of the American Geriatrics Society
|June 1, 1992
PubMed
Summary

Pessaries are a valuable, long-standing treatment for uterine prolapse, especially for elderly women who are not surgical candidates. This review covers their use, management, and potential complications in geriatric patients.

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Area of Science:

  • Geriatric Gynecology
  • Pelvic Floor Disorders

Background:

  • Pessaries are devices used for centuries to manage uterine prolapse.
  • While surgical repair is common for younger women, pessaries offer a palliative option for those with pelvic relaxation who are poor surgical candidates or refuse surgery.
  • Despite widespread use, there is limited geriatric literature on pessary management.

Purpose of the Study:

  • To review the indications and management of pessaries in elderly women.
  • To highlight strategies for preventing complications associated with pessary use in this population.
  • To encourage further clinical investigation into the application of pessaries for geriatric patients.

Main Methods:

  • Literature review focusing on geriatric populations and pessary use.
  • Analysis of current practices and evidence regarding pessary management in elderly women.
  • Identification of potential complications and preventive measures.

Main Results:

  • Pessaries remain a crucial, non-surgical option for uterine prolapse in elderly women.
  • Effective management requires careful patient selection, proper fitting, and regular follow-up.
  • Common complications include vaginal erosion, infection, and discomfort, which can be mitigated with appropriate care.

Conclusions:

  • Pessaries are an effective and important management tool for uterine prolapse in elderly women.
  • Optimizing pessary use involves understanding indications, proper management techniques, and complication prevention.
  • Further research is warranted to fully elucidate the clinical benefits and optimal application of pessaries in geriatric gynecology.

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