Prolapse and Pessaries

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Prolapse and Pessaries

Рет қаралды 42,246

Күн бұрын

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.

Пікірлер: 66

@jenifad9959 Жыл бұрын

It's refreshing that conversations like this are occurring.

@tonithompson8918 6 ай бұрын

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🩷

@kickingitwithjaida4496 2 жыл бұрын

I wish I could go see this doctor she’s awesome and caring .

@katnip198 3 жыл бұрын

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.

@user-yb6gg6fq2u 5 ай бұрын

This was very helpful explanation for prolapse and the options after the diagnosis thank you

@iluvsun1000 2 жыл бұрын

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.

@1MamaAye2 Жыл бұрын

I needed this so So much. The information, the encouragement and hope.

@Ksmusic_24 2 жыл бұрын

This made me feel better, thank you.

@myPelvicFloorMuscles 2 жыл бұрын

So glad!!

@animalmini1 3 жыл бұрын

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

@myPelvicFloorMuscles 3 жыл бұрын

So glad we connected! Thank you for the feedback🙏

@donna5659 2 жыл бұрын

I wish I lived in Orlando so I could go to you!!! Great information. So helpful to understand this problem! Thank you!!!!

@jeannespira8788 3 жыл бұрын

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.

@DoItWrightRo 2 ай бұрын

Thank you for this amazing video! I have requested an appointment with my doctor to address this!

@Virtuousmom1983 7 ай бұрын

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

@dotero6969 2 жыл бұрын

Awesome doctor 👩‍⚕️

@angie6649 4 ай бұрын

Great information. Thank you!

@geoffvalentine2526 2 жыл бұрын

fantastic thank you

@myPelvicFloorMuscles 2 жыл бұрын

🙌🙏

@m-j.9509 Жыл бұрын

Great information. Thank you very much.

@EM-wc2hq 7 ай бұрын

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.

@tanyajenkins3334 3 жыл бұрын

Very informative. Thank you

@aclark035 3 жыл бұрын

Very helpful !

@stephaniemassaline6407 2 жыл бұрын

Where are u n Orlando I go to Dr Han n orlando

@stephaniemassaline6407 2 жыл бұрын

8s there a smaller size than 4 pessary

@stephaniemassaline6407 2 жыл бұрын

I don't want surgery I need your help please

@TrudySchwartzBurrill 3 ай бұрын

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.

@karemrtin 2 жыл бұрын

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.

@mccoy9978 Жыл бұрын

WHAT A CREEP OF A SO-CALLED DOCTOR. HE SHOULD HAVE BEEN REPORTED!!

@birdlynn417 4 ай бұрын

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.

@laurimobley715 Жыл бұрын

I feel better with pesary

@Anione111 Жыл бұрын

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.

@sijortina 9 ай бұрын

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

@72dee Жыл бұрын

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.

@mrhollandsopus418 3 жыл бұрын

She is fantastic. Wish that I had her. Looking

@rachelhoffman1932 3 жыл бұрын

I tried one I did not like it because it hurt and caused me to bleed

@alicefields7885 Ай бұрын

What about having no option cause of multiple health issues and had a full hysterectomy only vulva and have anal stenosis would that help

@gracewright7938 2 жыл бұрын

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

@jenifad9959 Жыл бұрын

Definitely I understand the concern

@lynne3989 6 ай бұрын

Does the poise impressa help when the prolasp makes it hard to urinate??

@lynne3989 3 ай бұрын

Wish I knew too

@jenifad9959 Жыл бұрын

"Brace for vagina" brilliantly said

@birdlynn417 4 ай бұрын

What are the names of those products at the end you were talking about?

@GaleBatesmymentorbiz Жыл бұрын

My question: what to expect from surgery?

@sharrongreen8753 6 ай бұрын

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

@FamuyiwaTitilayo-tm1ot Жыл бұрын

How can I be treated from the disease please

@reathawaddell3940 Жыл бұрын

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 ?

@Gigi-wo8yv 5 ай бұрын

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?

@sara240sk 3 жыл бұрын

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

@myPelvicFloorMuscles 3 жыл бұрын

Poise Impressa is one option!

@stephaniemassaline6407 2 жыл бұрын

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

@Lukesmommy 3 жыл бұрын

Can a pessary reverse a mild vaginal prolapse?

@LynneWright 3 жыл бұрын

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.

@donnashankman5591 2 жыл бұрын

whats wrong after i insert pessary i start leaking

@Pathologyformedicalstudents 2 жыл бұрын

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

@elizabethadjei5827 3 жыл бұрын

What is the youngest patient u have treated?

@myPelvicFloorMuscles 3 жыл бұрын

3 but generally I don’t treat anyone under 5

@nm9412 Жыл бұрын

It’s pessary not pezzary.

@dreddx49 3 жыл бұрын

Will running with a pessary prevent a prolaspe from getting worse?

@myPelvicFloorMuscles 3 жыл бұрын

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?

@nzfreedomwatch3407 3 жыл бұрын

@@myPelvicFloorMuscles no I can't seem to track it down

@myPelvicFloorMuscles 3 жыл бұрын

NZ Freedom Watch kzfaq.info/get/bejne/gLOkabJipsyZdZ8.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!

@EricaChavira-on4oz 6 ай бұрын

I wouldn’t run at all! I feel like it would make it worse!