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15: Conservative Management of Pelvic Organ Prolapse

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    • 15.1: Introduction
    • 15.2: Life Style Intervention
      There is no conclusive evidence that lifestyle changes are going to improve the degree of prolapse or the symptoms associated with the prolapse.
    • 15.3: Physiotherapy
      Pelvic muscle training (Kegel exercises) is a simple, noninvasive intervention that may improve pelvic function. Whether Kegel exercises can resolve prolapse has not been adequately studied in good randomized controlled trials since Kegel’s original articles. While systematic reviews and randomized controlled trials (RCT) have shown a convincing effect of pelvic floor muscle training for stress and mixed urinary incontinence, there seems to be a paucity of data for other conditions associated wi
    • 15.4: Vaginal Pressaries
      Pessaries have been manufactured from many materials including silicone, rubber, clear plastic, soft plastic and latex. Most pessaries today are made of silicone and as a result are non allergic ,do not absorb odours or secrete substances. Silicone is resistant to breakdown with repeated cleansing and autoclaving. Pessaries are often used in pregnant patients, the elderly and in patients who do not want or are too frail to undergo surgery.

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