pessary

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A pessary (from the Latin pessum or pessarium “uterine cones, uterine plugs”, from originally old Gr . Πεσσόν pessόn , actually “board game stone”, but also the name for a cone-shaped support stone used in the case of a prolapse of the uterus) is a medical device which is inserted into the vagina or the uterus is inserted.

Therapeutic pessaries

As a conservative form of treatment, pessaries can be inserted into the vagina in the event of a pathological change in the position of the uterus. They also serve as a conservative therapy method for stress incontinence . The shape of the pessaries is very different and ranges from sieve-shaped bowl shapes and rings to cubes. In 1860 the American obstetrician Hugh Lennox Hodge (1796–1873) first described the Hodge pessary, which he had invented, to straighten the bent uterus. The main materials used today are silicone and plastic . To this day, rigid pessaries made of porcelain or glass are also occasionally used, with an outer diameter of usually 55–100 mm.

Pessaries were already used for therapy in prehistoric times. In archaeological excavations of prehistoric and early historical women's burials, ring-shaped objects made of ceramic or metal were found more often , which were located in the middle of the lower pelvic area and are interpreted by archaeologists and paleopathologists as pessaries. From the Iron Age, more precisely the late Hallstatt and the early La Tène periods , twelve women's burials are known to have contained clay pessaries.

  • Different therapeutic pessar models

  • Various pessaries made of silicone foam

Contraceptive pessaries

As mechanical contraceptives, pessaries are used for contraception . They can be used as so-called diaphragm inserted in the vagina, as a cervical cap on the outer cervix set or as an intrauterine device to be inserted (spiral) in the uterus.

literature

Web links

Commons : Pessary  - collection of images, videos and audio files
Wiktionary: Pessary  - explanations of meanings, word origins, synonyms, translations

Individual evidence

  1. ^ Hugh L. Hodge: On diseases peculiar to women, including displacements of the uterus. Philadelphia 1860.
  2. ↑ Barbara I. Tshisuaka: Hodge, Hugh Lennox. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 607.
  3. ↑ Pessaries (10) made of porcelain Pessaries made of Rosenthal porcelain.
  4. ↑ Occlusive pessaries (1) made of glass Pessaries made of glass
  5. ↑ [1] Example of a catalog from a supplier of hard pessaries made of porcelain.
  6. ↑ [2] Example of a catalog for a supplier of hard pessaries made of porcelain.
  7. ↑ Cystoceles, urethroceles, enteroceles, and rectoceles - Gynecology and Obstetrics - MSD Manual professional edition . In: MSD Manual professional edition . ( msdmanuals.com [accessed December 29, 2017]).
  8. ↑ Joachim Wahl: Caries, Struggle and Skull Cult. 150 years of anthropological research in southwest Germany. Material booklets on archeology in Baden-Württemberg 79. Theiss, Stuttgart 2007, ISBN 3-8062-2132-4 .
  9. ↑ Scherzler, Diane: The clay ring from the Viesenhäuser Hof. A reference to medical care in the pre-roman iron age? Find reports from Baden-Württemberg 22 (1), 1998, 237–294.

11. iButton Women's Basal Thermometer