Pessary, non rubber, any type
HCPCS code
Name of the Procedure:
- Common Name(s): Non-Rubber Pessary
- Medical Term: Pessary, non-rubber, any type (HCPCS Code: A4562)
Summary
A non-rubber pessary is a medical device inserted into the vagina to provide support for pelvic organ prolapse or to manage urinary incontinence.
Purpose
- Medical Conditions: Pelvic organ prolapse, urinary incontinence.
- Goals/Expected Outcomes: To alleviate symptoms of pelvic organ prolapse and prevent urinary leakage, thereby improving the quality of life for the patient.
Indications
- Symptoms/Conditions: Feeling of heaviness or pressure in the pelvis, urinary incontinence, discomfort during sexual activity.
- Patient Criteria: Women diagnosed with pelvic organ prolapse or urinary incontinence who are not suitable candidates for surgery or prefer a non-surgical option.
Preparation
- Pre-Procedure Instructions: Usually, no specific preparation such as fasting is required. Patients may be asked to empty their bladder before the procedure.
- Diagnostic Tests: Pelvic exam, assessment of the degree of prolapse and incontinence.
Procedure Description
- Examination: The healthcare provider performs a pelvic exam.
- Fitting: The appropriate size and type of pessary are selected.
- Insertion: The pessary is folded and gently inserted into the vagina.
- Adjustment: The provider ensures the pessary is comfortable and provides the needed support.
- Tools/Equipment: Non-rubber pessary of a specific type and size.
- Anesthesia/Sedation: Typically, none required.
Duration
- Typical Time: 10-15 minutes.
Setting
- Location: Outpatient clinic or physician's office.
Personnel
- Healthcare Professionals Involved: Gynecologists, primary care physicians, or nurse practitioners.
Risks and Complications
- Common Risks: Vaginal irritation, discomfort, increased vaginal discharge.
- Rare Risks: Infection, ulceration of vaginal tissues. Management includes removal of the pessary and treatment with antibiotics or ointments if necessary.
Benefits
- Expected Benefits: Immediate relief from symptoms such as pressure, incontinence, or discomfort.
- Timeframe: Benefits can be realized immediately upon proper placement and fitting.
Recovery
- Post-Procedure Care: Regular cleaning and periodic follow-up visits to check fit and condition of the pessary.
- Recovery Time: No downtime required; normal activities can typically be resumed immediately. Follow-up appointments as advised by the healthcare provider.
Alternatives
- Other Treatment Options: Pelvic floor exercises (Kegels), surgical repair, use of a rubber pessary.
- Pros and Cons:
- Pelvic Floor Exercises: Non-invasive but takes time to see results.
- Surgical Repair: Potentially permanent solution but involves risks of surgery and longer recovery.
- Rubber Pessary: Similar function but may cause allergic reactions in those sensitive to rubber.
Patient Experience
- During Procedure: Minimal discomfort during insertion.
- After Procedure: Some women might experience mild pressure or vaginal discharge, which usually resolves with time. Pain management typically involves over-the-counter pain relievers if needed. Regular follow-up ensures ongoing comfort and effectiveness.