Indications:

A donut pessary is primarily used for second or third-degree uterine prolapse, cystocele, and rectocele. This pessary, often used by post-menopausal women, is easily compressed for insertion and removal.

Contraindications:

Pessaries are contraindicated in acute genital tract infections, pelvic infections, or noncompliant patients.

Uses of Pessaries:

• As an alternative to surgery.
• To delay or preclude surgery
• To improve or restore continence.
• Diagnosis and therapy in obstetrics.
• For diagnosis to determine if surgery is necessary.
• To manage uterine prolapse or vaginal wall hernias.
• To relieve lower back pain caused by retroversion.
• To relieve a cystocele (bladder prolapse) or a rectocele.
• To prevent miscarriages by relieving pressure on a weak cervix.

Procedures:

Fitting usually requires a trial of various sizes to determine the proper pessary size. The Pessary Fitting Set is a valuable aid in selecting the correct pessary.

The physician should decide if estrogen therapy and/or a lubricant is suggested before the insertion.

• Perform a normal pelvic examination before 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.
• 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.
• For Donut Pessary, compress during insertion, and upon passing the introitus, release it to expand.
• 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 ensure the patient’s comfort and reduce the risk of pressure necrosis.
• For Donut Pessary, gently move past the cervix into the posterior fornix, supporting the cystocele or rectocele and the uterus.
• Once in place, the pessary should not dislodge when standing, sitting, squatting, or bearing down. It should not be uncomfortable for the patient during any of these routine activities. Pessary should be large enough for its indication, yet not cause any undue pressure or discomfort.
• The prescribed pessary should be cleaned before each insertion and removal. The cleaning steps are especially recommended before your first follow-up visit.
• The Patient should report any discomfort to their doctor immediately.

Removal and Suggested Follow-Up:

• Carefully remove the pessary toward the introitus using the index finger into the vagina to find the rim, pull down and out to allow removal.
• The pessary should be removed for cleaning every day or two.
• Women often remove their pessary for sexual activity. Please contact your physician for questions.
• Discuss with your healthcare provider how to care for your pessary and the expected length of time for pessary use.
• Monitor any allergic reaction within 24 to 48 hours after the first fitted. Examine the vagina area. Contact your doctor with any discomfort, irritation, pressure, sensitivity, or unusual discharge.
• Schedule a follow-up visit to communicate with your doctor about the symptoms to maximize the support.

Cleaning:

• Before initial use, the Pessary should be washed thoroughly.
• Rinse the Pessary with 20 - 40 °C warm water for 30-40 seconds.
• Apply mild pH 5-9 soap to rub the pessary gently back and forth for 10 times to lather well.
• Rinse off the Pessary with warm water for 1 minute, repeat and wash if needed.
• Wash again and rinse the Pessary thoroughly with distilled water for 1 minute. Ensure all traces of soap are removed to avoid irritation.
• Allow pessary to completely air-dry before reinsertion.

Caution:

The device should not be used if there is any visible defect (e.g., crack, discoloration).

Manufacturer	Bioteque
Application	Pessary
Color	White
Material	Silicone
Type	Donut

• The product warranty is applicable as per the terms and conditions provided by the product manufacturer.

Please call us for specific details.

• No returns will be accepted after 30 days from the date of shipment.
• All returns are subject to a restocking fee as per manufacturers terms and conditions.
• All returns must have an RGA number (Returned Goods Authorization), unauthorized returns will not be accepted.
• We do not guarantee fulfillment of any desired purpose or product suitability to the user and this will not be considered as a valid reason for return.
• The products must be new, unused condition, not tampered with, in original packaging and returned at the customers expense in the original packaging.
• If your return is not due to any manufacturing defect then the original shipping cost will be deducted from the total refund.
• Hygiene, bath and toilet items cannot be returned once opened or used.
• Standard manufacturer terms and conditions apply for return policy of this product.

Please call us for specific details.

What is a Pessary?

The pessary is a vaginal prosthesis that has evolved over centuries to become an effective medical device to relieve the stress of uterine or bladder prolapse, cystocele, rectocele, and often improves the symptoms of urinary incontinence.

Pessaries are distributed in a variety of styles, shapes, and sizes. They are perfectly safe, effective, and comfortable for long-term usage.

A pessary is a mechanical device, not unlike the common diaphragm, made of non-toxic medical-grade silicone and used to support the lower pelvis. This material is biologically inert, so allergic reactions are rare. Pessaries can be autoclaved (except donuts) or boiled or sterilized using cold sterilizing agents (all pessaries).

What is the procedure for getting a pessary?

• Visit your doctor to get fitted into the correct type of pessary using the Bioteque pessary fitting set.
• Your doctor will order the correct type and size of pessary via prescription.

What is Genital Prolapse?

Genital prolapse is a general term referring to several conditions that may occur separately or in combination. These include a uterine prolapse (dropped womb), a vaginal prolapse, a cystocele (dropped bladder), a rectocele (dropped rectum), and an entrocele (herniation of the small intestine into the space between the rectum and vagina).

Causes of a Prolapsed Uterus?

A uterine prolapse occurs when the uterus drops from its normal position. The cervix may descend into the vaginal opening. This condition affects approximately 11% of all women, usually in the post menopause years. However, it also occurs in young women, and it may be caused by the childbirth of a large baby when the vaginal walls are damaged.

Multiple deliveries may also weaken the area and lead to a uterine prolapse. Other causes include constipation, obesity, and fibroid tumors. Sometimes in menopause, the ligaments that hold the uterus in place lose some elasticity and strength due to reduced estrogen levels, and this may lead to a uterine prolapse.

Symptoms of a Prolapsed Uterus?

The symptoms of uterine prolapse usually include a feeling of pelvic bulging, heaviness or fullness, and/or lower back pain. These symptoms may worsen with activity and improve with bed rest. When standing, women with a prolapse actually feel as though something is falling out. Other symptoms may include vaginal pain or discharge, incontinence or difficulty urinating, bladder infections, or anal pain.

Pessaries are used to alleviate these symptoms. Not only do pessaries assist in restoring continence by stabilizing the bladder base, but they can also support the pelvic organs in their proper anatomic position in women who have a prolapse, cystocele, or rectocele. In women who are not interested in surgery or in women who are not good surgical candidates, pessaries offer a very viable treatment option.

Will I always have to use this pessary?

Not necessarily. Your vaginal muscles may strengthen to the extent that the pessary is no longer needed. Sometimes pessaries are only required for strenuous activity.

Can a pessary hurt or become uncomfortable?

A properly fitted pessary never causes pain or discomfort.

How often should I remove the pessary?

It is recommended that you remove the pessary daily to clean it using a mild soap and water. If you have difficulty removing it, make an appointment with your healthcare provider for removal and cleaning. Don’t be alarmed if the appointment is weeks away. Pessaries can remain in place from 4 to 12 weeks.

What is my responsibility?

Your responsibility is to follow your healthcare provider’s instructions, wear your pessary, and keep all the follow-up appointments.

Will my pessary set off the alarm at the airport?

Absolutely not.

Can my pessary fall out?

Yes, it can. If your pessary is too small or you need a different type, sometimes it will fall out. Simply clean and reinsert it. If this persists, call your healthcare provider and make an appointment for a different type of pessary.

Can I have sex with my pessary in place?

Yes, you can. If you want to remove it, then do so.

Will the pessary prevent pregnancy?

Absolutely not.