Perforated disc pessary Dr. Arabin

Perforated disc pessary Dr. Arabin

Perforated disc pessary Dr. Arabin - what does it for?

Perforated disc pessary is used in patients with mild cases of vaginal and uterine prolapse and/or stress urinary incontinence. The indication for use is determined by the treating gynecologist, who also monitors the progress of the therapy. Women wearing it are required to still have (albeit reduced) ability to support their pelvic floor.

Here is a list of the most common indications:

• For mild forms of urogenital diaphragm disorders - placing the pessary in the vagina allows you to support the pelvic organs, which prevents uncontrolled urine leakage,
• Mild depression of the vagina / vaginal apex - a condition in which the vaginal walls weaken and fall down. This pessary is placed in the vagina to support the vaginal walls, which helps alleviate or eliminate symptoms of pain in the pelvic area.
• Cystocele - lowering of the urinary bladder,
• Rectocele - lowering of the rectal wall,
• Strong depression of the uterus and vagina with prolapse after previous surgical reduction of the vaginal entrance.

By repositioning the descent and supporting the urethra, it may also prevent the development of stress urinary incontinence. Disc pessary therapy aims to reduce the symptoms of descent, also in combination with additional measures such as pelvic floor muscle training. If the patient is waiting for surgery, a disc pessary may be a solution for the "preparation" period.

Pessary size selection and follow-up visits:

Disc pessary used to lower the uterus and vagina. The pessary supports the reproductive organs, so selecting the right size (suitable for the organs and the vaginal entrance) is crucial for therapy.

Your doctor adjusts the pessary during your first examination. It should be checked whether the pessary remains in place during stresses such as coughing, pressure and movement, and then the doctor should re-check its position. The pessary is easy to change by the patient, i.e. removed in the evening and reinserted in the morning. Your doctor may recommend additional measures, such as prior or concurrent hormone therapy. This may facilitate the insertion and change of the pessary and support epithelial and tissue regeneration as needed. Very often, the pessary is lubricated with estrogen cream before being inserted into the vagina.

If the patient is unable to urinate, the pessary should be removed and a smaller size selected. The patient should be instructed about the possibility of the pessary lowering during urination or defecation. The patient should not have any problems with urination after inserting the device.

Medical check-up is recommended every 4 weeks from the moment of installation.

How are disc pessaries constructed?

Disc pessaries are medical devices made of flexible, body-friendly medical silicone. This is reusable medical equipment.

Disc pessaries are measured by the diameter of the plate and are available in sizes from 55 mm to 95 mm in diameter. A pessary with the smallest circumference that will stay properly in place should be inserted. Perforations (holes) allow secretions to drain out.

After inserting the pessary, it is recommended to use it for a maximum of 3 years. If damage, deformation or discoloration occurs during inspection of the pessary, the pessary must be replaced with a new one.

How to insert disc pessaries?

Disc pessaries are medical devices made of flexible, body-friendly medical silicone. This is reusable medical equipment.

Disc pessaries are measured by the diameter of the plate and are available in sizes from 55 mm to 95 mm in diameter. A pessary with the smallest circumference that will stay properly in place should be inserted. Perforations (holes) allow secretions to drain out.

After inserting the pessary, it is recommended to use it for a maximum of 3 years. If damage, deformation or discoloration occurs during inspection of the pessary, the pessary must be replaced with a new one.

During the follow-up visit, the patient should be instructed how to put on the pessary. Inserting and removing the disc pessary is relatively simple compared to other models.

The patient puts on the pessary while standing, with one leg placed on a chair, bed or toilet. If this is too difficult, you can also do it with your legs slightly apart while standing against a wall or lying down. During insertion, the patient should pay attention to squeeze the pessary and insert it into the posterior vaginal vault and then unfold it.

How to remove a plate pessary?

It is best to do it standing with one leg raised. During removal, the patient removes the pessary by pulling it with her index finger through the central hole.

The pessary should be washed under running water after each removal. Do not use disinfectants or disinfectants. Please use it according to the instructions. Before re-insertion, the vagina should be rinsed using an irrigator.

Contraindications to disc pessaries:

Pessarotherapy is a relatively safe therapy for patients. However, the use of a pessary requires attention and care for intimate hygiene and the device itself. Below is a list of contraindications or problems that may occur while using the pessary:

• III-IV drips should be treated with cube or mushroom-shaped pessaries,
• If the patient is unable to regularly change and clean the device,
• Allergy to silicone (very rare),
• Unpleasant smell,
• Infections and inflammatory diseases of the vagina,
• Pain, discharge, bleeding.

Contents of the package:

• Perforated disc pessary Dr. Arabin size 60 mm - 1 pc,
• User manual.

NOTE: After unpacking the product, it is not possible to return it.