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Dr. Arabin fungiform pessary

Pessar grzybkowy dr. Arabin

What are fungiform pessaries used for?

The fungiform pessary is used in patients with severe cases of vaginal and uterine prolapse (3 or 4 degrees - called complete uterine prolapse), when the urethral, ring or shell pessaries are unable to withstand the pressure, or when the cube pessary worsens urinary incontinence under stress. The indication for its use is determined by an experienced gynecologist or urogynecologist who also monitors the effects of the therapy. When the pessary is inserted, the uterus does not prolapse.

Fungiform pessary therapy is designed for a "short term" period, which means the pessary can remain in place continuously for up to 30 days, after which it is removed and cleaned to be reused. However, a pessary once a week is recommended. However, this requires good training from a specialist.

Pessar grzybkowy szczegóły

 

Fungiform pessary - structure:

The fungiform pessary is made of high-quality medical silicone. This model of pessary is particularly characteristic because it consists of a shaft (handle) and a cap. The fungiform pessary has perforations that allow vaginal secretions to be drained.

fungiform pessaries are certified medical devices.

The pessary has a shelf life of 10 years from the date of production in its original packaging. It is recommended to use it for three years after installation. If any damage is found, it is prohibited to use such a pessary. The fungiform pessary is a reusable medical device.

 

Choosing the right size of fungiform pessary by Dr. Arabin to the patient:

fungiform pessaries are measured by the diameter of their widest part and are available in sizes from 50 mm to 90 mm (diameter of the pessary cap). You should choose the smallest possible size that is able to stay in place.

Repositioning of the displaced organs may be necessary before pessary application. If there are other organs in the hernia sac apart from the uterus, moving them back into the abdominal cavity should be done carefully, using both hands. After inserting the pessary, the patient and the doctor check whether the pessary is stable, e.g. by coughing or trying to press the patient while lying down. It is important that the patient can feel and operate the pessary handle on her own while sitting on the gynecological chair. If the patient is comfortable with this, she should move around for short periods of time for testing.

It is recommended that the patient urinate before leaving the office. If this is not possible, the pessary should be removed and a smaller model chosen. The patient should immediately report any discomfort - also when urinating or defecating during pessary therapy.

After the first insertion of the pessary, it is recommended to be checked after a week, at the latest after four weeks, to exclude irritation, pressure sores or allergic reactions. The pessary must be removed for this evaluation. Often, the size of the pessary is adjusted during the next gynecological examination.

When the pessary is worn for the first time, it seems to be slightly too small. After 2-3 weeks of wearing a fungiform pessary, the urogenital diaphragm becomes stronger and smaller. The pessary becomes relatively too large and must be changed to a smaller size.

 

How to properly insert a fungiform pessary?

A fungiform pessary (Gelhorn type) is a specific type of pessary used mainly in cases of significant lowering or prolapse of pelvic organs. Pessary insertion and removal may require some dexterity and body awareness, which means that in some cases patients may have difficulty inserting and removing the pessary on their own.

In practice, many patients are able to insert and remove the fungiform pessary themselves after appropriate training and practice. Instruction on how to do this is usually provided by a gynecologist or a qualified pessary specialist who can demonstrate the technique for placing, positioning and removing the pessary, as well as giving advice on hygiene and care.

Some women may need several attempts under the supervision of a specialist before they learn how to properly insert and remove the pessary. This may be difficult for some due to physical limitations such as decreased flexibility, problems with manual dexterity, or difficulty reaching the vagina. In such cases, the help of a professional or trusted person may be necessary.

It is important for patients to remember to have regular check-ups with their doctor, even if they are able to manage the pessary themselves, to monitor their health, the fit of the pessary, and to detect possible problems such as irritation, congestion or infections.

Before insertion, it is recommended to lubricate the pessary with estrogen cream, which improves blood supply to the tissues and faster regeneration of the vagina. The use of creams with estrogen should be consulted with a specialist.

 

How to remove the pessary?

The fungiform pessary can be removed and inserted by the patient herself. The patient should learn how to insert and remove the pessary in the doctor's office. Take the position recommended by the specialist, grab the pessary shaft and pull it down in a gentle circular motion. If you have difficulty pulling it out, push the pessary slightly forward. When the pessary is sucked in due to the vacuum created, insert your index finger onto the plate, i.e. the base of the pessary. It will be possible to admit air after grabbing the shaft to remove the pessary.

After removing the pessary, wash it under running water using liquid soap or a detergent for intimate hygiene. The pessary should be checked for any signs of mechanical damage. If you have difficulty removing the fungiform pessary, contact your doctor immediately.

 

Contraindications

  • Mild prolapsus (grade 1 or 2) can be treated with ring or disc pessaries,
  • For patients who require constant care or are unable to undergo regular replacement, support from medical staff or a family member is recommended.
  • silicone allergy,
  • Active infections and chronic inflammation of the vagina or pelvis exclude the use of a pessary until the infection subsides,
  • Patients who do not comply should be closely monitored or not receive a pessary.

 

Contents of the package:

  • Fungiform pessary Dr. Arabin size 50 mm - 1 pc,
  • User manual.

 

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

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