{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:52Z","timestamp":1787004892313,"version":"build-2736575974"},"reference-count":20,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"04","license":[{"start":{"date-parts":[[2017,4,11]],"date-time":"2017-04-11T00:00:00Z","timestamp":1491868800000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>Introduction\u2003Vaginal pessary is used as a conservative treatment for pelvic organ prolapse (POP). Some studies have shown that common complaints of its use may include vaginal discomfort and increased vaginal discharge. Scant information is available about the microflora status after using this device.<\/jats:p>\n                  <jats:p>Objective\u2003To determine if the usage of vaginal pessary can interfere with the vaginal environment.<\/jats:p>\n                  <jats:p>Methods\u2003A cross-sectional study was performed from March of 2014 to July of 2015 including 90 women with POP. The study group was composed of 45 women users of vaginal pessary and 45 nom-users. All enrolled women answered a standardized questionnaire and were subjected to a gynecological exam to collect vaginal samples for microbiological evaluation under optic microscopy. Clinical and microbiological data were compared between study and control groups.<\/jats:p>\n                  <jats:p>Results\u2003Vaginal discharge was confirmed in 84% of the study group versus 62.2% in the control group (p\u2009&lt;\u20090.01); itching was reported in 20 and 2.2%, respectively (p\u2009&lt;\u2009.05); genital ulcers were only found in the pessary group (20%). There was no difference with regard to the type of vaginal flora. Bacterial vaginosis was prevalent in the study group (31.1% study group versus 22.2% control group), (p\u2009=.34).<\/jats:p>\n                  <jats:p>Conclusion\u2003Women using vaginal pessaries for POP treatment presented more vaginal discharge, itching and genital ulcers than non-users.<\/jats:p>","DOI":"10.1055\/s-0037-1601437","type":"journal-article","created":{"date-parts":[[2017,4,11]],"date-time":"2017-04-11T18:52:26Z","timestamp":1491936746000},"page":"169-174","source":"Crossref","is-referenced-by-count":17,"title":["Can the Pessary Use Modify the Vaginal Microbiological Flora? A Cross-sectional Study"],"prefix":"10.61622","volume":"39","author":[{"given":"Paulo C\u00e9sar","family":"Giraldo","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Oquendo","family":"Florentino","sequence":"first","affiliation":[{"name":"Faculdade de Medicina da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edilson Benedito de","family":"Castro","sequence":"first","affiliation":[{"name":"Faculdade de Medicina da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade de S\u00e3o Paulo (USP), Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e1ssia Raquel Teatin","family":"Juliato","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suelene Costa de Albuquerque","family":"Coelho","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2017,4,11]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/01.AOG.0000222903.38684.cc","article-title":"Effect of vaginal pessaries on symptoms associated with pelvic organ prolapse","volume":"108","author":"R J Fernando","year":"2006","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s00192-010-1340-9","article-title":"Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse","volume":"22","author":"Z Abdool","year":"2011","journal-title":"Int Urogynecol J"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00192-011-1390-7","article-title":"Pessary treatment for pelvic organ prolapse and health-related quality of life: a review","volume":"22","author":"B H Lamers","year":"2011","journal-title":"Int Urogynecol J"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/j.ajog.2003.10.711","article-title":"Patient satisfaction and changes in prolapse and urinary symptoms in women who were fitted successfully with a pessary for pelvic organ prolapse","volume":"190","author":"J L Clemons","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"60.e1","DOI":"10.1016\/j.ajog.2014.07.024","article-title":"The effect of pessaries on the vaginal microenvironment","volume":"212","author":"S Collins","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"E400","DOI":"10.5489\/cuaj.2783","article-title":"An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse","volume":"9","author":"M Abdulaziz","year":"2015","journal-title":"Can Urol Assoc J"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/PL00004026","article-title":"Bacterial vaginosis increases in pessary users","volume":"11","author":"B Alnaif","year":"2000","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/S1701-2163(15)30888-4","article-title":"Technical update on pessary use","volume":"35","author":"M Robert","year":"2013","journal-title":"J Obstet Gynaecol Can"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/S0002-9378(96)70243-0","article-title":"The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction","volume":"175","author":"R C Bump","year":"1996","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1128\/jcm.29.2.297-301.1991","article-title":"Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation","volume":"29","author":"R P Nugent","year":"1991","journal-title":"J Clin Microbiol"},{"issue":"01","key":"ref11","first-page":"14","article-title":"Nonspecific vaginitis. 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