Customized Pessary Fabrication Using Three-Dimensional Printing Technology.

Abstract:

BACKGROUND:Pessaries are a treatment option for pelvic organ prolapse, stress urinary incontinence (SUI), and cervical incompetence. An effective pessary is comfortable, corrects the presenting problem, does not cause adverse effects, and is easy to remove. Discomfort and poor fit limit the usefulness of pessaries for many women. Each patient presents with unique anatomy and thus the effectiveness of commercially available pessaries may be limited by lack of customization. METHOD:A patient presenting with SUI and failed commercial pessary fittings desired nonsurgical treatment. Using a mold fabricated with a three-dimensional printer and polylactic acid filament, a medical-grade silicone pessary was custom-made for the patient. EXPERIENCE:The silicone pessary was placed vaginally in the patient for a period of 48 hours. The patient did not report any discomfort or bladder leakage. In addition, the pessary did not dislodge with coughing, sneezing, or straining. After removal, a speculum examination showed normal epithelium. CONCLUSION:We report the successful insertion of a customized three-dimensional-printed pessary in a patient with SUI. Three-dimensional-printed pessaries are feasible and their utility may extend to the patient with anatomy incompatible with commercially available pessaries.

journal_name

Obstet Gynecol

authors

Barsky M,Kelley R,Bhora FY,Hardart A

doi

10.1097/AOG.0000000000002461

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

493-497

issue

3

eissn

0029-7844

issn

1873-233X

pii

00006250-201803000-00012

journal_volume

131

pub_type

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