Bioteque America Gellhorn Pessary

Bioteque America Gellhorn Pessary Features

• Easy to insert
• Highly flexible
• 100% Silicone
• Easy to remove
• Fits superiorly & anteriorly

What to buy with Gellhorn Pessary

• Flexible Inspection Mirror
• ConvaTec Aloe Vesta Perineal Or Skin Cleanser
• Attends Quickables Dry Wipes

When to use Bioteque America Gellhorn Pessary?

• Second or third-degree uterine prolapse.
• Mild cystocele and rectocele

Note: Pessaries are designed for single patient use

Contraindications

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

How to place Gellhorn Vaginal 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 can be folded 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.
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 ensure the patients comfort and reduce the risk of pressure necrosis.
4. 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. 
5. When fitting a pessary, be sure to instruct the patient on its cleaning, insertion, and removal. The patient should perform these tasks before the first follow-up visit.
6. Tell the patient to report any discomfort immediately.

How to remove Bioteque Vaginal Pessary?

1. To remove the pessary, carefully move the pessary forward towards the introitus. When the pessary is within reach, compress the pessary and carefully withdraw.
2. Ideally, the pessary should be removed for cleaning daily. But the removal time can be extended to weekly at the doctor’s discretion. The pessary can be cleaned with mild soap and warm water.
3. Advise the patient on pessary usage during sexual activity. 
4. Discuss the importance of following instructions and the expected length of time for pessary use. 
5. Within 24 to 48 hours, be sure the patient is not allergic to the pessary. Examine the vagina and ask the patient if there has been any discomfort, irritation, pressure, sensitivity, or unusual vaginal discharge. Also determine if there has been any improvement in her personal symptoms.
6. Schedule follow-up visits to fit the needs of the patient.

Bioteque America Gellhorn Vaginal Pessary FAQs

What is a Pessary?

A pessary is a silicone device that is inserted into the vagina, which helps support the uterus, vagina, bladder or rectum. It's most often used to treat prolapse of the uterus, but also can help relieve urinary incontinence

How to clean a pessary?