Prolapse and Pessaries
ฝัง
- เผยแพร่เมื่อ 8 พ.ย. 2019
- Join Dr. Sarah M. St. Louis, MD, FACOG and Physiotherapist Jeanice Mitchell PT, MPT, WCS, BCB-PMD, as they discuss pessaries and conservative management for pelvic organ prolapse
In this very informative session, Dr. Sarah talks about the common symptoms she sees with pelvic organ prolapse, the role of the physiotherapist early on and the conservative non surgical approach first. She also explains what a pessary does to support the prolapsed organ and the different types and sizes there are available.
Based in her private practice in Orlando, Florida USA, Sarah is an experienced surgeon and skilled in clinical research, medical education, gynecology, and urogynecology. She is a talented healthcare services professional with a doctor of medicine (M.D.) from Howard University.
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I wish I could go see this doctor she’s awesome and caring .
This was so informative. What a great doctor! I wish we had more doctors with your spirit and expertise in my area. Thank you for sharing🩷
It's refreshing that conversations like this are occurring.
This young doctor has explained things so well. I listened to quite a few videos and hers was so informative and understandable. I thank you for posting this video.
Thank you for this amazing video! I have requested an appointment with my doctor to address this!
This was very helpful explanation for prolapse and the options after the diagnosis thank you
I wish I lived in Orlando so I could go to you!!! Great information. So helpful to understand this problem! Thank you!!!!
Thank you both so much for this information.. im one of those people who thought I just had to deal with it .. for a long time
So glad we connected! Thank you for the feedback🙏
I needed this so So much. The information, the encouragement and hope.
Thank you! I am in my mid 60's and I had my first major surgery, hip replacement, about 10 weeks ago. Now I'm seeing a urogynecologist for prolapse that was discovered shortly before the hip surgery. When I left the urogynecologist's office, I was set on surgery being the best option for me. But, I'm really not fully recovered from the hip replacement and definitely not excited about having another surgery.. You two provided more information and confidence in the pessary as a viable option. Back to the 'drawing board' for me.
This made me feel better, thank you.
So glad!!
Great information. Thank you very much.
Awesome doctor 👩⚕️
Great information. Thank you!
This was so helpful and informative . Thanks to both of you. Great questions that I wanted to ask but in sessions everything was answered! Well done
The doctor was very thorough and articulate however, shouldn't she have held up a pessary?
Someone who has no idea what they look like are going to listen to this and have no idea what a pessary actually is.
fantastic thank you
🙌🙏
Very informative. Thank you
I have a stage 3 bladder prolapse it’s been very painful and very uncomfortable when sitting, when walking I feel it all the way down I had to go out of work for a while so for me I don’t feel comfortable putting the ring and better having surgery, but I’m scared to go through it.
Very helpful !
Where are u n Orlando I go to Dr Han n orlando
8s there a smaller size than 4 pessary
I don't want surgery I need your help please
How often does prolapse fail? Excellent video. Thank you very much. Does a rectal prolapse double every pelvic floor prolapse? I remember the hollow items. They were drying for sure easier when I was younger.
I live in Upstate New York and my obgyn just jammed it in told me to walk & squat. I had no clue what to expect or feel. So I felt it & told him. He yanked it out & jammed the next size up in.. I said it was better & he said ok & left. No instruction other than use lube & rinse it. I've haven't been able to move my bowels properly & today I pushed so hard to poo that the pessary came down to my vagina opening. I want to come Orlando to see a doctor who can explain & actually help me.
WHAT A CREEP OF A SO-CALLED DOCTOR. HE SHOULD HAVE BEEN REPORTED!!
She is fantastic. Wish that I had her. Looking
I feel better with pesary
I really appreciate you effort, am from Nigeria, I did surgery for vvf and just two days ago I had another prolapse surgery I need advice please to help me mange it
Is there a ban on actually showing a pessary? A video with pessary in the title and we don't get to see one or see a demonstration of its insertion using a model.
I tried one I did not like it because it hurt and caused me to bleed
Mine kept slipping to the side and then I would be bleeding I would have to go back to the doctor, happened several times. At first I got one that was bigger, then I went to the urogynocologist she gave me a smaller one and that one slipped too. It was very painful., sometimes I could not walk for a day. I am considering surgery, but I am afraid of the mesh deteriorating some 10 or 15 years from now and have to live with a deteriorating mesh on my Uretha and have it affect it and be in a lot of pain. Help
Definitely I understand the concern
How can I be treated from the disease please
I've had prolapse bladder for 4 years, and was just fitted for one, but it was too big, (size 4) as it hurt right away in the office, but this dingbat nurse ignored me. Then I came right back, then she put in a cube pessary and told me not to take it out for two weeks. The next evening, I took it out, because it was causing light brown discharge, and I was nervous because evey where I read it said to take the cube out every night, but this nurse told me differently. I did not like her, and have lost any trust in returning to her, yet I need a pessary.
What are the names of those products at the end you were talking about?
I'm having a brutal experience 1yr 5 after a total hysterectomy May 2021.. Sever constipation. I had not had sex since Jan 2022 then had a lumbar fusion. So this month October I had sex and it was the worse pain I've felt during sex. The vaginal entry is where all the pain is. We used lubricant it did not help. I am going to PCP.
Does the poise impressa help when the prolasp makes it hard to urinate??
Wish I knew too
How do I find a doctor to help me with a passery in Gadsden Alabama? I can't find a doctor who will help me ?
I'm in Arkansas, and I can't find a doctor who can help me with a pessary either.
I have so much pain that I think I have to go out of state to find a doctor...
Have you been able to find anyone to help you since you first wrote this comment?
My question: what to expect from surgery?
Thank you for this video, towards the end you mentioned something that can be placed into the vagina which expands ? What is the name for that? Thank you
Poise Impressa is one option!
What can I do with my sister she has this problem but she also have mental health problems she's refusing to do anything about her problems. What can you offer me to help her p PMT
"Brace for vagina" brilliantly said
What is the youngest patient u have treated?
3 but generally I don’t treat anyone under 5
whats wrong after i insert pessary i start leaking
Pessaries alter vaginal flora, often producing a thin, watery and physiologic discharge.
This discharge does not need to be treated unless there is itching burning or odor
I'm 69 n hae a prolapse n wear pessary have s size 4 but I think it to big n rub against me n have some bleeding tissue
Will running with a pessary prevent a prolaspe from getting worse?
Sarah Shaw In theory yes- the Pessary is helping to support the organs, connective tissue, and providing stability for the pelvic floor. However to my knowledge, there has not been any research that has studied this. And because prolapse symptoms and presentation can vary so much, it would be a difficult thing to study! Have you see my video on internal support options?
@@myPelvicFloorMuscles no I can't seem to track it down
NZ Freedom Watch th-cam.com/video/JMt6O1Af5Ek/w-d-xo.html
Try this link! Or you can email me at connect@mypfm.com. Ideally, that video would play automatically after the one above but I’m still figuring out youtube!
I wouldn’t run at all! I feel like it would make it worse!
Can a pessary reverse a mild vaginal prolapse?
Only surgery can reverse prolapse. You can only support with pessary. There might be slight improvement. Unless you want children, if your prolapse goes past the hymen, I would have a hysterectomy for uterine prolapse.
It’s pessary not pezzary.
Doctor refused to prescribe as he says they cause infecfions.
Drop that doctor fast! Find someone else to help you.
If the doctor says "peSSary" I think they know how to pronounce it correctly.. Every time you say "peZZary" I want to scream