Question:medium
In uterine prolapse, how to know if the ring pessary is in place?
In uterine prolapse, how to know if the ring pessary is in place?
Show Hint
A well-fitted ring resists straining and bearing down.
Updated On: Jun 23, 2026
- If not expelled after increased abdominal pressure
- If bleeding does not occur
- If patient feels discomfort
- None
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: Pessaries are mechanical supports inserted into the vagina to hold prolapsed pelvic organs. After fitting, the operator must verify retention before discharging the patient.
Step 2: The functional test relies on physiology: any raised intra-abdominal pressure (coughing, straining, walking) would dislodge a poorly fitted ring. A well-sized ring resists this force.
Step 3: Therefore, the pessary is judged to be in place if it remains in position - that is, is not expelled - when the patient is asked to increase abdominal pressure. This identifies option a as the answer.
Step 4: The remaining choices fail: lack of bleeding is non-specific, patient discomfort signals an incorrect fit rather than a correct one, and "None" ignores the valid retention test.
\[\boxed{\text{Not expelled after increased abdominal pressure}}\]
Step 2: The functional test relies on physiology: any raised intra-abdominal pressure (coughing, straining, walking) would dislodge a poorly fitted ring. A well-sized ring resists this force.
Step 3: Therefore, the pessary is judged to be in place if it remains in position - that is, is not expelled - when the patient is asked to increase abdominal pressure. This identifies option a as the answer.
Step 4: The remaining choices fail: lack of bleeding is non-specific, patient discomfort signals an incorrect fit rather than a correct one, and "None" ignores the valid retention test.
\[\boxed{\text{Not expelled after increased abdominal pressure}}\]
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