EvaCare Flexible Ring Pessary With Support

EvaCare Flexible Ring Pessary With Support

Brand/Manufacturer: PERSONAL MED
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  • Non Returnable
  • Prescription required

EvaCare Flexible Ring Pessary with Support is fit to be used for first or second-degree prolapse and also for supporting cystocele. It is easy to insert due to the folding feature. Flexible Silicone Pessary by Evacare is helpful to determine the effect of surgery or the type of surgery required. It can be used as a surgical facsimile for predicting the requirement for anti-incontinence surgery.

Why choose Evacare Pessary Ring with Support?

  • Highly flexible and soft
  • Diagnostic device during urodynamic testing
  • 100% silicone ring pessary
  • Uterine prolapse pessary

Item # Desc Pkg Price
R200S #1, Diameter 2" Each
$86.85
$56.03
R250S #3, Diameter 2-1/2" Each
$83.32
$53.75
R275S #4, Diameter 2-3/4" Each
$81.29
$56.89
R300S #5, Diameter 3" Each
$86.22
$55.62
R325S #6, Diameter 3-1/4" Each
$82.01
$52.91
R350S #7, Diameter 3-1/2" Each
$87.27
$56.30

Benefits of using Ring Pessary

  • 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

 

How to fit a Ring Pessary?

 

  • The size of pessary required must be determined by physical findings with the help of doctor.
  • It also depends upon ease of self-insertion/removal, ability to have vaginal intercourse, etc.
  • Ring Pessary Fitting kits also help in determining size of pessary.
  • Carefully follow the fitting instructions inside the pessary package. Pessary insertion, removal and cleaning must be done as instructed.
  • If the patient feels any pain or discomfort report to doctor immediately.
  • The pessary should not exert undue pressure on the vaginal wall.
  • The clinician should be able to insert a finger between the pessary and vaginal wall.
  • Pessaries are not recommended for those with acute vaginal tract infections.
     

EvaCare Flexible Ring Pessary Guide

 

 

 

What to Buy with EvaCare Ring Pessary?

 

Benefits of using Ring Pessary

 

  • 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

EvaCare Flexible Ring Pessary FAQs

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 Ring Pessary?

After the first fitting, the user will need to go back to health care provider’s office in a few days to have the pessary rechecked. After that, the user may be checked every few weeks, then every 2 to 3 months as long as the user have the pessary. If the user experience inadequate relief of symptoms, be sure to report that to provider. Over time the pessary may need to be changed to a different size or shape.

How To Clean Ring Pessary?

The cleaning schedule is based on the type of prolapse the user have, the amount of vaginal discharge, and the specific type of pessary. There are two options:

  1. The user may return to provider’s office every 2 to 3 months for a regularly scheduled pessary change. Many older women elect for this option.
  2. If the user feel comfortable with the pessary, the user may remove and clean it once instructed in the proper insertion and removal technique. After the user have removed 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.

The user should return to provider to have the pessary checked once or twice a year. Generally pessary will be replaced with a new one after one year of use.
When the user are not wearing pessary, store it in a clean, dry place. The 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 the user can feel the pessary at the opening of the vaginal area, do one of two things:

  1. Insert fingers into the vagina, grasp the pessary and gently pull it down and out. Removal is usually best done lying flat with knees bent (less gravity) and legs apart.
  2. Push it back in. Reach into vagina until the user touch the pessary. Simply push the pessary in as deep as the user can.

If pessary falls out and are unable to reinsert it, clean the device as instructed previously. Place it in a plastic bag to take with along when returning to 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 clinician for instructions regarding 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 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 the user notice changes in the color, amount, consistency or odor of vaginal discharge. (A creamy discharge is normal.)

 

Ring Pessary Specifications

Pessary Type

Prolapse

Cystocele Rectocele Stress Incontinence Retro Displacement Incompetent Cervix Coitus With Pessary In
1st - 2nd Degree 2nd - 3rd Degree
Ring Y   Y         Yes
Oval Y   Y         Yes
Shaatz   Y Y         Yes
Dish   Y Y   Y     Yes
Mar-Land   Y Y   Y     Yes
Gellhorn   Y Y Y       No
Donut   Y Y         No
Cube   Y Y Y       No
Gehrung   Y Y Y       Yes
Hodge Y   Y   Y Y Y Yes

 

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