Evaluation Of Vaginal Culture Results in Patients Using Vaginal Pessary
Journal Title: Acta Medica Ruha - Year 2024, Vol 2, Issue 1
Abstract
Introduction: Although surgery is the main treatment in cases with uterine prolapse, the use of vaginal pessary is an important alternative in cases where surgery cannot be performed due to comorbid diseases and patient avoidance of surgery. With the use of pessaries, the pelvic organs are held in place and a significant improvement in the patient's quality of life is achieved. Objective: Obviosly Usage of vaginal pessaries cause to vaginal infection. The aim of this study to determine solutions of the problems that patients may encounter and better evaluate this situation in the light of vaginal culture results taken from patients. Method: 22 patients who applied to Gynecology and Obstetrics outpatient clinics and used vaginal pessaries due to pelvic organ prolapse for various reasons were included in the study. Previous vaginal culture results due to infection were evaluated retrospectively in the patients who are using pessaries. The cases were examined in terms of age, gravida, parity, height, weight, BMI, existing complaint, comorbidity, reason for not being able to undergo surgery, shape and degree of pelvic organ prolapse, whether it was accompanied by incontinence, and pathological findings using ultrasonography. Results: During sterile speculum examination of the patients with vaginal discharge due to pessary use intense leukorrhea was detected in just 1 patient (4%) and 9 patient (40.9%) had minimal leukorrhea. Although the patient had a complaint, no evidence of infection was detected in 12 of the patients (54.5%) during the examination. The vaginal culture results shows that 7 of 22 patients (31%) were reported as "no growth". Normal flora elements grew in 12 of them (54%). Pathogenic microorganisms were observed in only 3 (13.6%) patients.The causative microorganism Echechia coli was observed in 2 of the patients with growth in vaginal culture, and Enterococcus faecealis was observed in 1. Conclusion: As a result of this study, it is seen that local antibiotics used prophylactically and local estrogen given to prevent tissue damage provide adequate treatment in patients using vaginal pessaries, but it is more valuable to show the presence of infection by vaginal examination rather than culture to improve the quality of life of patients
Authors and Affiliations
Betül Kalkan Yılmaz
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- EP ID EP733009
- DOI 10.5281/zenodo.10530035
- Views 29
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