EvaCare Flexible Ring Pessary With Support
EvaCare Flexible Ring Pessary With Support

EvaCare Flexible Ring Pessary With Support

Brand/Manufacturer: PERSONAL MED
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EvaCare Ring Flexible Pessary With Support is a small medical device placed in the vagina to provide an effective means of managing SUI and a first to second degree prolapse. It is made of soft and pliable medical-grade silicone that can be folded for easy insertion and removal. EvaCare Ring pessary not only supports a mild uterine prolapse and a cystocele, but can also be helpful when used as a diagnostic device during urodynamic testing. Ring Pessary With Support can show what effect surgery may have as well as what type of surgery will be most beneficial. A well-placed pessary can achieve clinical results, which are comparable to surgery, without risks.

Item #DescPkgPrice 
R2.25S #2, Diameter 2-1/4" Each $76.99 $47.99
R2.50S #3, Diameter 2-1/2" Each $76.99 $47.99
R2.75S #4, Diameter 2-3/4" Each $76.99 $47.99
R3.00S #5, Diameter 3" Each $76.99 $47.99
R3.25S #6, Diameter 3-1/4" Each $76.99 $47.99
R3.50S #7, Diameter 3-1/2" Each $76.99 $47.99
R3.75S #8, Diameter 3-3/4" Each $76.99 $47.99

Ring Pessary With Support

Key Features:

  • Helps support the uterus, bladder or rectum
  • Safe and simple approach that greatly reduces or even alleviates genital prolapse, incontinence or urinary frequency
  • Can act as a surgical facsimile predicting the requirement for anti-incontinence surgery
  • Variety of sizes are available to account for different anatomic needs
  • White colored Evacare Pessaries help distinguish themselves from tissues while removing
  • May be used in place of surgery or on a temporary basis while deciding upon surgical options

Management of Prolapse:

Prolapse occurs when the muscles and ligaments supporting the pelvic floor weaken and the vaginal wall thins. Uterus, bladder or rectum drop down and, due to gravity, push into the vagina. A Ring Pessary with support is often used for mild prolapse.

More On Ring Pessary

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?

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

How To Clean Ring Pessary?

Your cleaning schedule is based on the type of prolapse you have, the amount of vaginal discharge, and the specific type of pessary. There are two options:
  1. You may return to your provider’s office every 2 to 3 months for a regularly scheduled pessary change. Many older women elect for this option.
  2. If you feel comfortable with the pessary, you may remove and clean it yourself once instructed in the proper insertion and removal technique. After you have removed your 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.
You should return to your provider to have the pessary checked once or twice a year. Generally your pessary will be replaced with a new one after one year of use.
When you are not wearing your pessary, store it in a clean, dry place. Your 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 you can feel the pessary at the opening of the vaginal area, do one of two things:
  1. Insert your fingers into the vagina, grasp the pessary and gently pull it down and out. Removal is usually best done lying flat with your knees bent (less gravity) and your legs apart.
  2. Push it back in. Reach into your vagina until you touch the pessary. Simply push the pessary in as deep as you can.
If your pessary falls out and you are unable to reinsert it, clean the device as instructed previously. Place it in a plastic bag to take with you when you return to your 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 your clinician for instructions regarding your 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 your 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 you notice changes in the color, amount, consistency or odor of vaginal discharge. (A creamy discharge is normal.)

Specifications Of Ring Pessary

Pessary Type

Prolapse

CystoceleRectoceleStress IncontinenceRetro DisplacementIncompetent CervixCoitus With Pessary In
1st - 2nd Degree2nd - 3rd Degree
RingY Y    Yes
OvalY Y    Yes
Shaatz YY    Yes
Dish YY Y  Yes
Mar-Land YY Y  Yes
Gellhorn YYY   No
Donut YY    No
Cube YYY   No
Gehrung YYY   Yes
HodgeY Y YYYYes

Customer Reviews

Questions & Answers


 
 
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Is an estrogen cream required to use with this?
Hope - 3/25/2017 12:50:14 PM
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Fitting comfort may be improved for women who are very apprehensive or sensitive by the use of lidocaine gel applied to the introitus 5 minutes before fitting. If genital tissue is very atrophic or non-elastic, several weeks of topical estrogen therapy prior to fitting may be optimal.
Customer Care - 3/27/2017 8:21:00 AM
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How is size determined?
Hope - 3/12/2017 1:57:30 PM
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Pessary Selection and Fitting Tips 
  • Assess for and treat causes of vaginal tenderness prior to fitting (infection, lesions, or tension myalgia). 
  • Familiarize the woman with the pessary before fitting (let her see, feel, and fold it; use visual aids, such as pelvic models or charts, to show how it will stay in her vagina). 
  • Fitting will be more comfortable if the woman has an empty bladder and bowel; however, to test for stress incontinence, fitting with the bladder full will facilitate assessment. If the bowel is full and cannot be emptied voluntarily, an enema onsite or rescheduling the appointment may be most helpful. 
  • Autoclavable fitting kits are available, but keeping a small stock of silicone pessaries in commonly used sizes and shapes may offer a more true-to-life fitting experience. 
  • Fitting comfort may be improved for women who are very apprehensive or sensitive by the use of lidocaine gel applied to the introitus 5 minutes before fitting. 
  • If genital tissue is very atrophic or non-elastic, several weeks of topical estrogen therapy prior to fitting may be optimal. 
  • Refitting may be necessary after weight loss or weight gain, any period of temporary removal, or during long-term use if atrophic tissue change continues (increased stenosis or decreased support). 
  • During post-fitting pessary testing, placement of a urine receptacle ("Hat") in the commode will ease retrieval if the pessary is expelled. Otherwise, instruct the woman not to flush the pessary into the plumbing system. 
  • A pessary that is comfortable and retained except during bowel movements may be a success if the woman chooses to either remove the pessary for defecation or support it digitally during evacuation. 
  • If the pessary is easily expelled, try a larger size or different style. If the pessary is uncomfortable or the patient feels pressure, try a smaller size or different style. Successfully sized, the pessary should be comfortable; women often say, "I can't even tell it's there!"
  •  Make sure a system is in place to identify missed pessary follow-up visits to avoid potential
Customer Care - 3/14/2017 5:13:41 AM
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What else should I need to know about the care of the pessary?
Rebekah - 3/6/2017 6:43:27 AM
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The vagina is not sterile so the pessary needs only to be kept clean (per instructions above). Pessaries have a long usage life and can remain in place for 8 to 12 weeks. A slight discoloration of the pessary is normal.
If you are menopausal and not on estrogen, you should discuss vaginal estrogen with your provider. It thickens the tissues of the vagina and keeps it healthy which prevents complications related to pessary use.
Customer Care - 3/7/2017 12:27:48 AM
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how long can I leave it in and how do I clean it
cathy wahl - 10/21/2016 8:02:21 PM
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If you are able to care for your pessary at home, it is recommend that you take it out and clean it daily. You should use a mild soap with water, rinse and dry it completely, and reinsert it into the vagina the next morning. It is OK to keep it in for a longer period of time but never more than 3 months at a time.
It will be better to consult a physician.
Customer care - 10/22/2016 2:13:13 AM
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Is a prescription from a doctor required to purchase a pessary.  I have one but it is too small.
Diana Sykes - 6/25/2016 8:41:12 AM
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Thank you for contacting customer service. Presciption is not required for pessary.
Customer Care - 6/27/2016 5:17:15 AM
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How do you know what size to get?
Lynelle - 5/30/2016 9:58:35 PM
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Thank you for reaching out to us. Pessary Selection and Fitting Tips
  • Assess for and treat causes of vaginal tenderness prior to fitting (infection, lesions, or tension myalgia).
  • Familiarize the woman with the pessary before fitting (let her see, feel, and fold it; use visual aids, such as pelvic models or charts, to show how it will stay in her vagina).
  • Fitting will be more comfortable if the woman has an empty bladder and bowel; however, to test for stress incontinence, fitting with the bladder full will facilitate assessment. If the bowel is full and cannot be emptied voluntarily, an enema onsite or rescheduling the appointment may be most helpful.
  • Autoclavable fitting kits are available, but keeping a small stock of silicone pessaries in commonly used sizes and shapes may offer a more true-to-life fitting experience.
  • Fitting comfort may be improved for women who are very apprehensive or sensitive by the use of lidocaine gel applied to the introitus 5 minutes before fitting. If genital tissue is very atrophic or non-elastic, several weeks of topical estrogen therapy prior to fitting may be optimal.
  • Refitting may be necessary after weight loss or weight gain, any period of temporary removal, or during long-term use if atrophic tissue change continues (increased stenosis or decreased support).
  • During post-fitting pessary testing, placement of a urine receptacle ("Hat") in the commode will ease retrieval if the pessary is expelled. Otherwise, instruct the woman not to flush the pessary into the plumbing system.
  • A pessary that is comfortable and retained except during bowel movements may be a success if the woman chooses to either remove the pessary for defecation or support it digitally during evacuation.
  • If the pessary is easily expelled, try a larger size or different style. If the pessary is uncomfortable or the patient feels pressure, try a smaller size or different style. Successfully sized, the pessary should be comfortable; women often say, "I can't even tell it's there!"
  • Make sure a system is in place to identify missed pessary follow-up visits to avoid potential problems related to pessary neglect.
Customer Care - 5/31/2016 12:43:37 AM
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