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Probably muscle strength is decreased in women with episiotomy, thus making possible the development of the phenomenon of pelvic relaxation in this group.
Nguyen and Jones (2005) reported both the presence of past pelvic relaxation surgeries and stress urinary incontinence made it more difficult to successfully fit a pessary.
"the IUD queen") of San Jose, Calif., sent in the following solution for "pessary dystocia." Situation: A pessary is successfully inserted in a woman with significant pelvic relaxation, the prolapse is corrected, but when the patient comes for a follow-up the pessary is totally "stuck." It's painful to remove it, the vagina bleeds, the patient freaks out.