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Topic: Pessary


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In the News (Sun 5 Jul 09)

  
  Early American Manual Therapy
Pessaries remain most useful devices in the treatment of many common displacements and to discard their use is to limit one's ability to properly care for many troublesome conditions.
Pessaries may be used in practically all displacements, but are particularly useful in retro-displacements and in prolapsus, not only of the uterus, but of the vaginal walls as well.
Stem pessaries are sometimes successfully used in anteflexion, to straighten the cervical canal, and to relieve the accompanying dysmenorrhoea and sterility.
www.meridianinstitute.com /eamt/files/woodall/woodall8.html   (3815 words)

  
 Data Sheet
The pessary (vaginal insert) is contained within the pouch of an off-white knitted polyester retrieval system designed to aid retrieval at the end of the dosing interval.
The dinoprostone is dispersed throughout a matrix consisting of 241 mg of hexanetriol/macrogol 8000/isocyanate cross-linked hydrogel copolymer, which is a semi-opaque, beige coloured, flat rectangular pessary (vaginal insert) measuring 29 mm by 9.5 mm and 0.8 mm in thickness.
The pessary (vaginal insert) and its retrieval system, made of polyester yarn, are non-toxic and when placed in a moist environment, absorb water, swell, and release dinoprostone.
www.medsafe.govt.nz /Profs/Datasheet/c/Cervidilpessary.htm   (2608 words)

  
 Dr   (Site not responding. Last check: 2007-10-12)
A pessary is a plastic device that fits into your vagina to help support your uterus (womb), vagina, bladder or rectum.
Most pessaries can be worn for many days to weeks at a time before they have to be taken out and cleaned with ordinary soap and water.
You may be able to take out, clean and reinsert your pessary yourself, or your doctor may want you to come into the office so he or she can do it.
www.healthcoachmd.com /handouts/pessary.html   (477 words)

  
 Urology of Indiana > Uropoint > Patient Education > Pessary Instruction   (Site not responding. Last check: 2007-10-12)
A vaginal pessary is a supportive device used to support the uterus (uterine prolapse) and/or vaginal walls (cystocele or rectocele), to improve certain types of urinary incontinence, and to aid in bladder emptying.
A pessary can be used as a temporary measure to provide relief of symptoms while you await surgery or as a permanent alternative if you cannot or do not choose to undergo a surgical procedure.
The size and type of pessary depends on the degree of prolapse or severity of the vaginal "hernia." Pessary fitting is often a matter of "trial and error." The pessary must fit properly in order to be effective.
www.urologyin.com /uropoint/pessary   (435 words)

  
 Vaginal pessaries - Quest Diagnostics Patient Health Library   (Site not responding. Last check: 2007-10-12)
Pessaries can be used successfully to treat other gynecologic conditions, such as a uterus that is in the wrong position.
Pessaries are used as a nonsurgical approach to the treatment of pelvic organ prolapse.
Pessaries do not cure pelvic organ prolapse but help manage and slow progression of prolapse by adding support to the vagina and increasing tightness of the tissues and muscles of the pelvis.
www.questdiagnostics.com /kbase/topic/detail/other/tv1613/detail.htm   (537 words)

  
 Prolapse and Pessaries: Frequently Asked Questions
A pessary is a device that is inserted into the vagina to support sagging pelvic organs. By supporting the organs, it relieves the symptoms associated with prolapse.
Pessaries are usually made of latex or polyvinyl. They come in many shapes. The most common ones are round and resemble a diaphragm, although the rim is firmer and the center is open. They also come in cube, donut and U shapes. A properly fitted pessary should cause no pain or discomfort.
A pessary cannot cure a prolapse. It merely supports the sagging organs and relieves the symptoms. If the pessary is removed, the organs will sag and the symptoms will return. Surgery is the only cure for prolapse. Many women, however, are unable or unwilling to have surgery to correct their prolapse. For these women, the pessary is an excellent alternative.
providence.org /Oregon/Programs_and_Services/Women_and_Children/prolapseFAQ.htm   (429 words)

  
 APPGuide Online - Consumer Medicine Information - CANESTEN CLOTRIMAZOLE THRUSH TREATMENT ONCE PESSARY + CREAM - CMI
Canesten pessary 500 mg is presented as a white pellet-shaped pessary-compressed packaged in a foil sachet.
The Canesten pessary is an anti-fungal agent used to treat candidal (thrush) infections of the vagina and vulvovagina (commonly referred to as thrush).
The pessary is to be inserted as gently and deeply as comfortably possible into the vagina at bedtime, using the applicator provided.
www.appco.com.au /appguide/drug.asp?drug_id=00200475&t=cmi   (1351 words)

  
 Printer Friendly: Pessaries Information
The pessary is a device that is placed into the vagina to support the uterus and/or bladder and rectum.
While there are many types and shapes, the most commonly used pessary is a firm ring that presses against the wall of the vagina and urethra to help decrease leakage and support a prolapsed vagina or uterus.
Pessaries can be left in place for up to a week, and removed for periodic easy cleansing.
www.ucsf.edu /wcc/print_pessaries.html   (535 words)

  
 Women's Health Information : Vaginal pessary for prolapse
Pessaries have been used for hundreds of years and many women find them a good long term solution without the risks of surgery.
The pessary sits high inside the vagina and when in the correct position should not be felt by you.  You can do all your normal activities including sexual activity.
Very rarely the pessary causes pressure areas in the vagina. ; It is important that you see your doctor every 4 to 6 months to have the pessary changed and to check the vagina. ; Please tell your doctor if you notice any unusual bleeding.
www.rwh.org.au /womensinfo/factsheets.cfm?doc_id=7555   (329 words)

  
 Bridge Over Troubled Waters
I hadn't even heard the word pessary since I was a child, back when dinosaurs ruled the earth, and wasn't terribly sure what one was.
She explained that it is somewhat like a diaphragm, in that it goes into the vagina, and rests on the pelvic bone.
He had no idea what a pessary is, and I guess most males don't, but you'd think a lab tech would have run into this before.
www.1yankee.com /pessary.htm   (1552 words)

  
 Pessary
A pessary is a device that fits into the vagina to support the uterus, vagina, bladder, or rectum.
Made of silicone or latex, pessaries are available in more than 15 different styles.  Each style is designed to correct a specific pelvic support problem.  Therefore, the type of pessary chosen for each patient will depend on her specific problem.
After initial pessary selection, physicians commonly reevaluate the vagina for pressure sores or allergic reaction.  If patients are able to remove the pessary, they can remove it every few weeks and clean it with soap and water.
www.utsouthwestern.edu /utsw/cda/dept22047/files/144460.html   (382 words)

  
 Pessaries   (Site not responding. Last check: 2007-10-12)
A pessary is a device for supporting the organs in the female pelvis.
Pessaries are made of plastic (silicone or latex).
Pessaries designed for treatment of urinary incontinence press the urethra (the tube which carries urine out) against the public bone.
tjsamson.client.web-health.com /web-health/topics/WomensHealth/womenshealthsub/womenshealthpages/pessaries.html   (848 words)

  
 Uterine prolapse: Treatment - MayoClinic.com
A vaginal pessary fits inside the vagina and is designed to hold the uterus in place.
Once the pessary is in place, your doctor may have you walk, sit, squat and bear down to make sure that the pessary fits you correctly, doesn't become dislodged and feels reasonably comfortable.
Pessary use may be the best treatment choice for these women.
www.mayoclinic.com /health/uterine-prolapse/DS00700/DSECTION=8   (596 words)

  
 How ofter should you change a ring pessary- based on what evidence? : NLH Question Answering Service
In the motivated patient who is able to demonstrate effective removal, insertion and care of the pessary, these examinations may be spaced further at the discretion of the physician.
At each follow-up examination, the pessary should be removed and cleaned with soap and water while the vagina is inspected for erosions, pressure necrosis or allergic reaction.
The patient who is using a pessary should be considered to be under the care of the person who placed it for the duration of its use.
www.clinicalanswers.nhs.uk /index.cfm?question=4016   (540 words)

  
 Stress Incontinence - Management - UrologyChannel
Vaginal pessaries are silicone or latex devices inserted into the vagina to compress the urethra and support the bladder neck to prevent leakage during strenuous activity.
Pessaries usually are fitted and inserted by a gynecologist and the largest size that can be worn comfortably is usually the most effective.
At each examination, the pessary is removed and cleaned with soap and water.
www.healthcommunities.com /uro/incontinence2/stress/management.shtml   (676 words)

  
 Milex Products Online Catalog - Pessaries
The Donut Flexible Pessary (formerly the red rubber donut), is one of the traditional pessaries which offers effective support for third degree prolapse/procidentia.
The fully deflated pessary is easy to insert or remove even with a narrow introitus.
Flexible Gellhorn multiple- drain pessary is one of the traditional pessaries used for prolapse.
www.milexproducts.com /products/pessaries/prolapse2   (435 words)

  
 Women's Health Advisor 2005.4: Vaginal Pessary
A vaginal pessary is a device inserted into the vagina (birth canal) to help support the vaginal walls and pelvic organs.
Some pessaries are inflatable and may be easier to insert than the plastic or rubber devices.
The pessary may be used temporarily before surgical treatment for some of these problems, or it may be used instead of surgery when surgical treatment isn't desired or feasible.
www.med.umich.edu /1libr/wha/wha_vagipess_crs.htm   (500 words)

  
 Pessary in TutorGig Encyclopedia   (Site not responding. Last check: 2007-10-12)
A 'pessary' is a small plastic or silicone medical device or form of pharmaceutical preparation which is inserted into the vagina or rectum and held in place by the pelvic floor musculature.
A pessary is most commonly used to treat prolapse of the uterus.
A 'pharmaceutical pessary' is used as a very effective means of delivery of pharmaceutical substances easily absorbed through the skin of the vagina or rectum, or intended to have action in the locality, for example against inflammation or infection, or on the uterus.
www.tutorgig.com /ed/pessary   (397 words)

  
 How to use your pessaries
Pessaries are normally made of a solid vegetable oil that contains the medicine.
Gently insert the pessary into the vagina as far as is comfortably possible using either your fingers or the applicator.
Pessaries are only intended for vaginal use and must not to be taken by mouth.
www.netdoctor.co.uk /health_advice/facts/pessaries.htm   (451 words)

  
 Mechanical devices for urinary incontinence in women
Pessary: This rubber device is inserted into the upper vagina where it touches the cervix.
The pessary presses on the urethra through the vaginal wall and holds up the bladder neck and uterus, if present.
It is usually not necessary to remove the pessary to urinate.
www.webmd.com /hw/female_incontinence/hw220171.asp   (392 words)

  
 Hemorrhoidal pessary - Patent 4583542
The pessary 10 comprises a head 12 and a shaft 14, the head having a tapered shape from its nose end 16 back to a corona portion 18.
The pessary 10 is used in conjunction with an anesthetic ointment which can be applied directly to the anal canal or to the surface of the pessary 10.
The pessary 10 is then inserted into the anal canal with pressure on the end surface 44 until it can be detected that the corona portion 18 of the head has passed inside the sphincter muscles 38 and 40, as illustrated in FIG.
www.freepatentsonline.com /4583542.html   (1672 words)

  
 Canesten Vaginal 1 x 500mg Pessary 1 Day Treatment + Cream (S3) - epharmacy   (Site not responding. Last check: 2007-10-12)
The Canesten pessary is an anti-fungal agent used to treat candidal (thrush) infections of the vagina and vulvovagina (commonly
The pessary is to be inserted as gently and deeply as comfortably possible into the vagina at bedtime, using the applicator
The pessary should preferably be inserted in the evening, just before bed time.
www.epharmacy.com.au /product.asp?id=1890   (1355 words)

  
 The Incontinence Solution -- chapter9.asp
Pessaries were invented over two thousand years ago.
The earliest known pessaries were pomegranates, cut in half and inserted into the vagina to hold the uterus up.
Pessaries are also very useful for women who wish to defer surgery for a while or who are not able to have surgery for medical reasons.
www.theincontinencesolution.com /chapter9.asp   (299 words)

  
 Pessaries - The American Urogynecologic Society
Some women will be perfectly happy using a pessary as their only prolapse treatment. Other women use pessaries temporarily for relief of symptoms while they wait for a convenient time to have surgery. Some women even use pessaries after surgery if they still need a little extra support.
Some pessaries are designed for self-care, and some are not. Some women feel comfortable caring for their own pessary and some don’t. If you want to learn to care for your pessary yourself, ask your physician or other health care professional to show you how to:
Some women remove their pessary and leave it out all night, or remove their pessary to have sex. Some women remove and clean their pessaries every night. Some use a different plan.
www.augs.org /custom/kb/answer.cfm?id=27   (360 words)

  
 Canesten 500mg pessary
Canesten 500mg pessary is inserted high into the vagina to allow the clotrimazole to act directly in the area of infection.
The pessary should be inserted into the vagina at bedtime using the applicator provided.
If your sexual partner also has symptoms of thrush (in men these are soreness and redness of the penis, tightness of the foreskin or a white, odourless discharge from the penis), it is important that they are treated at the same time as you, for example with clotrimazole cream, to prevent you being re-infected.
www.netdoctor.co.uk /medicines/100003328.html   (839 words)

  
 Canesten Once Pessary
Canesten Once Pessary is a simple, conventent one day therapy for effective treatment of vaginal thrush.
Vaginal thrush (vaginal candidiasis) is a common infection caused by yeast-like fungi.
Insert the pessary gently and deeply into the vagina at bedtime using the applicator.
www.onlinepharmacynz.com /product/502/Canesten_Once_Pessary.html   (134 words)

  
 Canesten Pessary Information and Sales
To fit the pessary into the applicator, the holder of the applicator needs to be squeezed lightly at either side.
Since the pessary dissolves in the vagina, it may be helpful to wear a panty liner because it is quite common to notice a slight white residue (chalky) after using the pessary.
Do not use the pessary after the after the expiry date (this will be printed at one end of the carton and on the foil blister strip of the pessary on the applicator and the applicator foil wrapping)
www.mypharmacy.co.uk /medicines/medicines/c/canesten/canesten_pessary.htm   (1230 words)

  
 UpToDate Use of the vaginal pessary
However, a vaginal pessary can be a useful alternative to surgery for some woman with symptomatic pelvic relaxation.
Temporary use of a pessary before surgery should be encouraged in women with severe prolapse who develop ulcerations due to exposure of the vaginal mucosa and in postmenopausal women who are not taking hormone replacement therapy.
Use of a pessary for two to four weeks while topical estrogen is administered will allow the vaginal mucosa to become as healthy as possible before surgery.
patients.uptodate.com /topic.asp?file=pelvic_s/6175   (407 words)

  
 Canesten Pessary , SPC from the eMC
The pessary should be inserted into the vagina, as high as possible, using the applicator provided.
Canesten pessaries need moisture in the vagina in order to dissolve completely, otherwise undissolved pieces of the pessary might crumble out of the vagina.
To help prevent this it is important that the pessary is inserted as high as possible into the vagina at bedtime.
emc.medicines.org.uk /emc/assets/c/html/displaydoc.asp?DocumentID=4018   (938 words)

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