INTRODUCTION We recently showed that a cervical pessary prevents preterm birth and reduces poor neonatal outcomes in women with a twin pregnancy and a short cervix (<38 mm). The objective of this study was to evaluate the full potential treatment effect of the pessary in the whole group and in women with a short cervix. MATERIAL AND METHODS We performed a per-protocol analysis of a multicente...

Cent Eur J Urol 2013; 66: 329 10.5173/ceju.2013.03.art20 Urinary tract infections (UTI) are a common problem in postmenopausal women. The incidence is higher in patients with diabetes mellitus (DM) and very often it can be manifested by asymptomatic bacteriuria (ASB) only. The prevalence of ASB is usually correlated with the length of DM and long–term complications, rather than metabolic parame...

OBJECTIVE We evaluated pessary for dilated cervix and exposed membranes for prolonging pregnancy compared to cerclage or expectant management. METHODS Multicenter retrospective cohort study of women, 15-24 weeks, singleton pregnancies, dilated cervix ≥2 cm and exposed membranes. Women received pessary, cerclage or expectant management. Primary outcome was gestational age (GA) at delivery. Sec...

Abstract An 86-year-old lady was admitted with a one-week history of feeling unwell, polyuria, dysuria, urinary and faecal incontinence. She had previously been treated for recurrent UTIs by her GP. On examination she suprapubic tenderness but no peritonism. Observations revealed tachycardia 122bpm temperature 36.3*C. Inflammatory markers were raised white cell count 22.0x106 /L CRP 129 mg/L. U...

We present a rare case of a complication after pessary insertion during pregnancy due to short cervix. A woman in the 35th week of gestation was admitted to the Department of Perinatology due to preterm labor. The patient's history revealed cervical pessary insertion during the 29th week of pregnancy due to a cervix of 18 mm in length. Because of threatened preterm labor, the pessary was remove...