Utilização de pessários nos prolapsos de órgãos pélvicos: revisão integrativa

Fernanda Karolina de Oliveira Gonçalves; Cláudia Daniella Avelino Vasconcelos; Francisca das Chagas Sheyla Almeida Gomes Braga; Marta Lira Goulart; Sabrina de Oliveira Carvalho; Vitória Pires Alencar

Authors

Fernanda Karolina de Oliveira Gonçalves State University of Piauí– Teresina (PI) https://orcid.org/0000-0001-7150-4634
Cláudia Daniella Avelino Vasconcelos Federal University of Piauí – Teresina (PI) https://orcid.org/0000-0003-4638-2465
Francisca das Chagas Sheyla Almeida Gomes Braga Federal University of Piauí – Teresina (PI) https://orcid.org/0000-0001-5646-0100
Marta Lira Goulart University of São Paulo, School of Nursing – São Paulo (SP), Brasil. ,https://ror.org/036rp1748 https://orcid.org/0009-0001-7559-454X
Sabrina de Oliveira Carvalho Federal University of Piauí – Teresina (PI) https://orcid.org/0000-0001-8456-1785
Vitória Pires Alencar State University of Piauí– Teresina (PI), Brasil. ,https://ror.org/00kwnx126 https://orcid.org/0000-0002-5548-9670

Abstract

Objective: To analyze the studies available in the literature on the use of pessaries for the treatment of pelvic organ prolapse. Method: Integrative review of the literature, carried out from May to September 2023, by consulting the databases: Medical Literature Analysis via PubMed, Latin American Literature in Health Sciences, Nursing Database: Brazilian Bibliography and Scientific Electronic Library Online via Virtual Health Library. Results: 174 articles were recovered, 06 of the BVS and 168 of Medline. 07 duplicated publications were removed and 140 were excluded because they did not respond to the research issue. Thus, 28 studies were eligible, 12 excluded because they did not meet the inclusion and exclusion criteria, and 15 were selected for the study. Conclusion: The use of vaginal pessaries not only represents an effective conservative approach, but also proves to be a significant ally in the preoperative context for the treatment of pelvic organ prolapse. Pessaries should be offered to patients as a first-line treatment, as they present low risks, improve symptoms almost immediately.

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