Rabinerson David, Katz Adi, Borovich Adi
Harefuah. 2023 Feb;162(2):92-97.
The rise in women's age globally, as well as lifetime hard physical work and high parity rate in the third world countries, is a substantial cause for female genital organ prolapse of variable degrees of severity. This, in turn, has a negative effect on the function of the affected women. The definitive treatment for this condition is surgery of various types in accordance with the anatomic injury, although it is not easily available throughout the world. Hence the use of vaginal pessaries, which is quite prevalent among the affected women, mainly in third world countries. These contraptions enable fixation of the prolapsed female pelvic organs in the pelvis and prevent their descent to the vagina and beyond. The most prevalent vaginal ring is the pessary ring, although a large variety of vaginal rings are available. In this article the authors review some of the aspects regarding the use of vaginal rings for pelvic organ prolapse. Generally, the use of these rings was found safe and effective - both by physicians as well as users, however, reports of some negative complications related to the use of these devices have been published. Another clinical experimental aspect of the use of these rings is to try to prevent premature delivery in pregnant women. Currently, this treatment option is still regarded as being controversial in terms of its effectiveness for this purpose.
全球女性年龄的增长，以及第三世界国家女性一生中长期从事繁重体力劳动和高生育率，是导致不同严重程度女性生殖器官脱垂的重要原因。这进而会对受影响女性的功能产生负面影响。尽管并非在世界各地都能轻易获得，但针对这种情况的最终治疗方法是根据解剖损伤进行各种类型的手术。因此，阴道子宫托的使用在受影响女性中相当普遍，主要是在第三世界国家。这些装置能够将脱垂的女性盆腔器官固定在骨盆中，防止它们坠入阴道及更深处。最常见的阴道环是子宫托环，不过也有各种各样的阴道环。在本文中，作者回顾了一些关于使用阴道环治疗盆腔器官脱垂的相关方面。总体而言，医生和使用者都发现这些环的使用是安全有效的，然而，也有一些与使用这些装置相关的负面并发症的报道。使用这些环的另一个临床实验方面是试图预防孕妇早产。目前，就其在这方面的有效性而言，这种治疗选择仍存在争议。
