Pessary Fitting Set
2Pages

Pessary Fitting Set for Healthcare Professional America Inc. An Visit our website: www.bioteque. com Tel 1-800-889-9008 Fax 1-408-526-9399 Panpac Medical Corporation 6F-2, No.202, Sec. 3, Ta-Tong Rd., Shi-Chih District, New Taipei City, Taiwan. EC REP Wellkang Ltd Suite B, 29 Harley Street LONDON, WIG 9QR.U.K. Not made with natural rubber latex PROCEDURES A Pessary Fitting Set is designed for a physician to determine the proper size and type of pessary for the patient before prescription. It is fitted by trial and error. The fitting pessary is to be used as a fitting device within the clinic environment. Federal law restricts this device to be sold by or on the order of a physician. CONTRAINDICATIONS A Pessary Fitting Set is contraindicated in acute genital tract infections, pelvic infections, or noncompliant patients. Fitting usually requires a trial of various sizes to determine the proper pessary size. Pessary Fitting Set is a valuable aid in selecting the correct pessary. A vaginal lubricant may be required for the patients comfort before insertion of a pessary. The physician may suggest K-Y jelly, Replens®, if you need to use lubricant. The physician should determine if the patient requires estrogen therapy before prescribing a pessary. 1. Perform a normal pelvic examination prior to the fitting and introduction of a pessary. A pelvic exam helps determine the appropriate size. The pessary will easily fold across the largest drainage holes to simplify insertion and removal. The pessary should be large enough for its indication, yet not cause any undue pressure or discomfort. 2. Compress the pessary and gently insert the pessary through the introitus. Once the pessary has passed the introitus, release the compressed pessary so that it expands to its normal shape will insure the patients comfort and reduce the risk of pressure necrosis. 3. Gently move the pessary to the cervix to support the cystocele or rectocele and the uterus. When in the correct position, the physician should be able to insert an examining finger between the outer edge of the pessary and the vaginal wall. This spacing will insure the patients comfort and reduce the risk of pressure necrosis.

4. Once in place, have the patient sit, stand and bear down. Examine the patient whilst she is in the standing position to ensure the pessary has not shifted position. The pessary should not be too loose as it may turn or be expelled, and it should not be too tight as it may cause discomfort. 5. The physician should be able to place one finger between the pessary and vaginal walls. It there is not enough space to do this, the next smaller pessary should be tried. If excessive space exists, the pessary will not be effective and may rotate or even be expelled. 6. To remove the pessary,...