How Pessary Helps In Urinary Incontinence?
In women with stress incontinence, the pessary exerts pressure on the urethra (urine tube) to decrease the escape of urine when coughing or sneezing. In patients with urge incontinence (strong, sudden need to urinate), the pessary realigns the bladder in its normal position, allowing it to empty better.
What Happens After Fitting?
After the first fitting, you’ll need to go back to your health care provider’s office in a few days to have the pessary rechecked. After that, you may be checked every few weeks, then every 2 to 3 months as long as you have the pessary. If you experience inadequate relief of symptoms, be sure to report that to your provider. Over time the pessary may need to be changed to a different size or shape.
How To Clean Ring Pessary?
Your cleaning schedule is based on the type of prolapse you have, the amount of vaginal discharge, and the specific type of pessary. There are two options:
- You may return to your provider’s office every 2 to 3 months for a regularly scheduled pessary change. Many older women elect for this option.
- If you feel comfortable with the pessary, you may remove and clean it yourself once instructed in the proper insertion and removal technique. After you have removed your pessary, wash it with mild soap, rinse well with tap water and air dry. EvaCare pessaries fold or compress to ease insertion. A small amount of lubricant may be used. Apply it at the introitus (vaginal opening) and use non-lubricated fingers to insert.
You should return to your provider to have the pessary checked once or twice a year. Generally your pessary will be replaced with a new one after one year of use.
When you are not wearing your pessary, store it in a clean, dry place. Your pessary should be used only by the person for whom it was prescribed.
Can Ring Pessary Be Lost In The Vagina?
No, the pessary cannot get lost. The vagina is like an open pocket extending only 3 to 4 inches into the body. The pessary can change its position within the vagina or fall out if it is too small or if there is undo straining during a bowel movement. If that happens, or if the pessary is uncomfortable or you can feel the pessary at the opening of the vaginal area, do one of two things:
- Insert your fingers into the vagina, grasp the pessary and gently pull it down and out. Removal is usually best done lying flat with your knees bent (less gravity) and your legs apart.
- Push it back in. Reach into your vagina until you touch the pessary. Simply push the pessary in as deep as you can.
If your pessary falls out and you are unable to reinsert it, clean the device as instructed previously. Place it in a plastic bag to take with you when you return to your provider’s office.
Can Pessary Act As A Contraceptive Device?
No. It is important to understand that the pessary is not a contraceptive device like the diaphragm. Intercourse is possible with those pessaries that do not fill the vagina, such as the ring. Some other types of pessaries must be removed before intercourse. Contact your clinician for instructions regarding your pessary.
Cautions And Warnings:
The pessary may push against other pelvic structures and can sometimes cause trouble with urination, difficulty with bowel movements, or lower back pain. Report any of these to your healthcare provider right away, as well as:
- Any increase in urinary incontinence
- Any vaginal pressure or discomfort
- Any vaginal bleeding, burning or itching
- Any vaginal sores
- If the pessary falls out frequently
- If you notice changes in the color, amount, consistency or odor of vaginal discharge. (A creamy discharge is normal.)
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