Fungiform pessary Dr. Herbich thin

Fungiform pessary Dr. Herbich

Thin fungiform pessary - what does it to?

The thin fungiform pessary is intended for patients with stage 3 or 4 vaginal and uterine prolapse. This pessary model is also used in cases of prolapse of the bladder (cystocele) and rectum (rectocele). It is used in women with a large vaginal opening and when other pessaries are unable to effectively support the prolapsed organs.

Used in cases of lowering of the uterus and vagina in patients with a large vaginal entrance.

A thin fungiform pessary reduces or completely eliminates static disorders of the reproductive organs. The inner part of the cap becomes suctioned to the prolapsed organs. The outer part of the pessary cap supports the pelvic floor muscles. The fungiform pessary lifts the vagina upwards along with other descending or prolapsed organs.

Thin fungiform pessary - construction and dimensions:

The fungiform pessary is a medical device made of medical silicone. The fungiform pessary has perforations, i.e. holes that allow vaginal secretions to be drained. It is biocompatible, non-pyrogenic and supplied in a sterile state. Pessaries are reusable medical equipment. After removing the pessary, it should be washed and cleaned of any remaining mucus. Do not insert a pessary if it shows any signs of mechanical damage.

The fungiform pessary consists of two characteristic parts: the pessary body (pessary leg) and the cap. The sizes of fungiform pessaries are given according to the diameter of the cap. Available sizes are from 50 mm to 90 mm (every 5 mm next size).

How to choose the size of a pessary?

The first insertion of a fungiform pessary takes place in the doctor's office. A pessary of the smallest possible size should be used, among those that fulfill its function. The size of the pessary is selected by the doctor during the gynecological examination and is based on the doctor's experience and depends on the width of the vaginal entrance. It is recommended to lubricate the pessary with estrogen cream.

First, the prolapsed part of the organ should be drained into the smaller pelvis. Then, using your fingers, measure the internal width of the vagina in the minor pelvis vertically and horizontally and then calculate their average. The calculated average minus approximately 1 cm gives the potential diameter of the cap.

Before inserting the pessary, pinch the cap or insert it with the cap open. The pessary should be inserted with the cap towards the uterus as far as possible. Use your index finger to push the pessary upwards until only the tip of the pessary shaft can be felt. Immediately after inserting the pessary, check whether the pessary is properly attached (if there is suction). The patient should be asked whether she feels any improvement after inserting the pessary and whether the pressure on the organs is not too great.

A well-selected fungiform pessary, when worn for the first time, must give the impression that it is slightly too small. After 2-3 weeks of wearing a fungiform pessary, the pelvic floor muscles become stronger and the vagina shrinks. The pessary adjusts. It is recommended to undergo a follow-up visit within the first 3-4 days.

How should the patient insert the fungiform pessary?

The first time, the pessary should be inserted by a specialist into a patient with an empty bladder. The patient should then be instructed on how to remove and insert the fungiform pessary. Herbich. While on the gynecological chair for the first time, the patient should be informed about the role of the pessary body. The patient should be asked to feel it herself while sitting in the chair.

After receiving instruction from a gynecologist, many women are able to learn how to remove and insert a gynecological pessary at home on their own. This increases the comfort of use and reduces the frequency of follow-up visits.

Suggested positions for removing and inserting the pessary at home:

• Standing: place your leg on a chair, low table or toilet,
• Sitting: on the edge of a chair or toilet,
• Lying down: on the bed with your knees bent.

The pessary should be washed under running water and smeared with cream. Assume one of the above positions. If the organs have slipped out, use clean hands to gently put them back into place. Then do exactly as your doctor taught you during your visit.

How to remove a fungiform pessary yourself?

Grab the stem (leg) and pull it down in a gentle circular motion. If you have difficulty removing the pessary, insert your index finger behind the base of the pessary and let air in. At the same time, grab the pessary shaft and gently twist it to one side, then remove it by pulling it down.

It is recommended to remove the fungiform pessary at least once a week, but at least every 2-4 weeks. This is done to wash the pessary and to allow the vaginal walls to regenerate. This may have a positive impact on minimizing the undesirable side effects of pessary therapy.

Contraindications to the use of fungiform pessaries:

• Pressure sores in the vagina,
• Acute inflammation in the vagina,
• If the patient is unable to follow the recommendations regarding follow-up visits, insertion and removal of the pessary,
• In women with vaginal scarring after previous surgery, selecting a pessary may be difficult,
• If the protruding uterus has become irritated, erosions or ulcers, it is recommended to heal it before using pessary therapy.

Contents of the package:

• Fungiform pessary Dr. Herbich thin - 1pc
• User manual