Southeastern Gynocologic Urology

What are Pessaries/ Colpexin
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A pessary is a removable supportive device placed inside the vagina. It is a non-surgical reversible approach to relieving urinary incontinence and/ or symptoms associated with pelvic organ prolapse. There are a variety of sizes and types, and these devices are typically made of inert materials (rubber, plastic or silicone).  Prior to pessary insertion, you should have a thorough pelvic exam by your physician. It is important that you are fitted to find the appropriate type and size. Once the recommended pessary has been selected it should not cause any discomfort, you should be able to perform simple maneuvers without dislodging the pessary, and you should be able to void adequately. Your doctor will evaluate whether your vaginal skin appears healthy before your pessary is placed. It is important not to have an active infection or very thin vaginal skin before insertion. You may be given a prescription for estrogen cream to help keep your vaginal tissues healthy and to prevent pressure erosions from the device. You should also be taught proper removal, cleaning and insertion techniques at your first follow-up visit. If you are unable to remove and re-insert the pessary on your own, you will have to return to your physician’s office for scheduled pessary checks. At these appointments your pessary will be removed and cleaned, your vaginal skin inspected, and then your pessary re-inserted.

 

The Colpexin Sphere is a smooth, round sphere made of medical grade polycarbonate plastic with an attached braided nylon string for easy removal. It provides dual benefits for the management of pelvic organ prolapse and improvement of pelvic floor muscle weakness. It is inserted into the vagina using the provided applicator or by hand and should be used as part of a program that includes pelvic floor muscle exercises. You will be fitted for the correct size by

your physician in the office. Once the appropriate size is selected, you will be taught how to insert and remove the sphere. It should be removed and cleaned daily and removed with intercourse. It should not be inserted if there is an active infection, if you are pregnant, during menstruation, with abnormal uterine bleeding, with active vaginal skin erosions, recent vaginal surgery, with an IUD, or pelvic inflammatory disease. It is available only by prescription.

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