Urogynecological pessaries: Practical skills for physicians

Objective. To assess the feasibilities of a stepwise examination in female patients with pelvic floor dysfunction in an outpatient setting and to select urogynecological pessaries for pelvic organ prolapse and/or urinary incontinence (UI) in a well-argued manner, by using the current data available in the Russian and foreign literature. Material and methods. Publications in international scientific citation databases were sought and analyzed; an algorithm and schemes for selection of urogynecological pessaries were elaborated at the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Results. Urogynecological pessaries are first-line nonsurgical treatment for pelvic organ prolapse and UI in women. The authors present the practical algorithm of actions and scheme for the selection of urogynecological pessaries in relation to the manifestations of pelvic floor dysfunctio