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

Autores/as

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

Resumen

Objetivo: Analizar los estudios disponibles en la literatura sobre el uso de los pesarios para el tratamiento de los prolapsos de órganos pélvicos. Método: Revisión integrativa de la literatura, desarrollada de mayo a septiembre de 2023, tras consulta en las bases de datos: Medical Literature Analysis vía PubMed, Literatura Latinoamericana en Ciencias de la Salud, Base de Datos en Enfermería: Bibliografía Brasileña y Scientific Electronic Library Online vía Biblioteca Virtual en Salud. Resultados: Se recuperaron 174 artículos, siendo 6 de la BVS y 168 de MEDLINE. Se eliminaron siete publicaciones duplicadas y se excluyeron 140 por no responder a la pregunta de investigación. Así, 28 estudios fueron elegibles, 12 fueron excluidos por no cumplir con los criterios de inclusión y exclusión, y 15 fueron seleccionados para la realización del estudio. Conclusión: El uso de pesarios vaginales no solo representa un enfoque conservador efectivo, sino que también se presenta como un aliado valioso en el contexto preoperatorio para el tratamiento del prolapso de órganos pélvicos. Los pesarios deben ofrecerse a los pacientes como tratamiento de primer línea, ya que presentan bajos riesgos y mejora los síntomas casi de forma inmediata.

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