Pessaries for pelvic organ prolapse in women with severe dementia: an ethical challenge

被引：0
|
作者：
Gibson, William [1 ]
Wagg, Adrian [1 ]
机构：
[1] Univ Alberta, Fac Med & Dent, Div Geriatr Med, 1 198 Clin Sci Bldg, 11350 83 Ave NW, Edmonton, AB 624, Canada
来源：
INTERNATIONAL UROGYNECOLOGY JOURNAL | 2023年 / 34卷 / 05期
关键词：
Pelvic organ prolapse; Dementia; Older people; Ethics; COMPLICATIONS;
D O I：
10.1007/s00192-023-05478-5
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Pelvic organ prolapse is commonly treated with intravaginal devices to support the pelvic organs and maintain comfort. Pessaries generally require regular maintenance with removal, cleaning, and replacement. For women with severe dementia, this process can be extremely distressing. We present an illustrative case of a woman in whom the progression of her dementia led to a challenging ethical dilemma about continuing the use of a pessary and call for a conversation about these issues in the urogynaecology community.
引用
收藏
页码：1007 / 1008
页数：2
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