GYNEAS FREE 0459 Cube Pessary For Women User Manual
- June 13, 2024
- GYNEAS
Table of Contents
GYNEAS FREE 0459 Cube Pessary For Women
INSTRUCTION
- A special feature of this new pessary: two sizes in one.
- 3 models are available following the patient’s vaginal morphology.
As a result of new designs and the use of new materials, the therapeutic use of pessaries in gynecology has undergone a real renaissance. The Gyn & Cube Gyneas cube pessary is effective for the treatment of vaginal vault and uterine prolapses, because of the reduced pressure produced by the suction effect of its concave surfaces. It also has the advantage of being pyramidal in shape, which makes it easier to insert, keep in place, and remove.
Indications
- Stress urinary incontinence during sustained exertion (aerobics, tennis, jogging).
- Moderate or exteriorized prolapse.
- Moderate cystocele and rectocele.
- After childbirth, transient prolapse or incontinence.
Good trophicity (lubrication and elasticity) is essential. Local estrogen treatment (vaginal capsule and cream applied to the vulva) is strongly recommended. Ask your physician for advice.
Sizes of the pessary
There is no rule for choosing what size of pessary is appropriate; the
physician is the best person to decide the “ideal” pessary size. A first
estimation can be carried out by palpating to decide approximately what size
of pessary will be suitable. It is also important to note that it is not
unusual to have to change the size or style of pessary in order to select the
most suitable. This is why the patient is urged to see her phy-sician again
without delay if she encounters any problems (pain, urinary infection,
bleeding…). The pessary must be big enough to stay in place, without causing
the patient any discomfort.
When it is first inserted, to see whether the right size has been fitted, the physician should ask the patient to stand up, sit down, walk, cough and squat to make sure that the position of the pessary does not change. The patient should not be able to feel that the pessary is present. Note: When a Gyn & Cube Gynéas pessary is used for stress urinary incontinence, it is recommended that the patient’s bladder should be full before any adjustment is made. Ask the patient not to empty her bladder until the pessary has been inserted.
Inserting the pessary
The recommended position is the same as that used to insert a tampon: for
example, with the patient standing with one foot on a chair, or lying on her
back with her head and shoulders raised on pillows. To make it easier to
insert, the pessary can be lubricated. It should be grasped between the thumb
and forefinger, the labia are separated by the fingers of the other hand, and
the pessary inserted into the vagina, leaving half of the pessary sticking
out, and then pushing it inwards along the curve of the vagina.
Removing the pessary
Do not use the cord to pull the pessary out. The first thing that has to be
done is to abolish the suction by inserting a finger between the pessary and
the vaginal vault, then grasping the pessary between the thumb and forefinger
and gently removing it, following the curve of the vagina, and using the cord
as a guide. A lubricant makes this easier to do.
Use and maintenance of the pessary
The patient must remove the Gyn & Cube Gynéas pessary, wash it with soap and
water, rinse it dry it every evening, and not put it back again until morning.
The pessary must not be inserted during sleep time so that the vaginal tissues
are not subjected to suction all the time. It can be reinserted the next day.
Contraindication
- Presence of pelvic infection.
- The inability of the patient to cooperate (the Gyn & Cube Gynéas pessary must be inserted and taken out on a daily basis).
- Severe ulceration
- Allergy to silicone
Precautions for use
- Endometriosis can make a pessary uncomfortable.
- The decision whether to use this pessary in a pregnant patient is left to the health professional’s judgment, as it is in patients who have stents
- Do not use silicone-based lubricating gel. This could damage the pessary. The use of a water-based gel is recommended.
- A pessary is used for a limited time. Check frequently for signs of damage (cracks or breaks in the surface of the silicone, string exposed).
- A damaged pessary should be replaced.
Advantages of silicone
- Hypo-allergenic.
- Long-lasting.
- Does not absorb odors or secretions.
Information
- The pessary could be used at the same time as an intra-uterine contraceptive device.
- The patient could keep her pessary while swimming.
- Pessary should be removed before having sexual relations.
Patient follow-up
It is usual to re-examine the patient after she has been using the pessary for
one month, and then every 6 months if there are no problems, or more often if
symptoms occur.
While the patient is being followed up, she should be asked to report:
- Any change in the color or consistency of the vaginal secretions.
- Any increase in vaginal secretions.
- Unpleasant-smelling vaginal discharges or bleeding.
- Vaginal itching.
- Difficulty in urinating, urinary burning, and infections confirmed by a urinary mycobacteriology test.
- Difficulty in passing stools.
- Discomfort, onset of incontinence.
A follow-up card is supplied with the Gyn & Cube Gynéas pessary to assist the patient and her physician in monitoring its use better. At each exam, the pessary must be taken out, brushed, and cleaned by the physician. The vagina and uterine cervix must be examined at each follow-up visit to make sure that there are no ulcerations, lesions, or anomalies in the walls.
Possible side effects
- Vaginal discomfort
- Sensation of a foreign body
- Pelvic pressure / poor retention
- Urinary disorder (feeling of having a full bladder or difficulty passing urine)
Year of apposition of the CE mark : 2010
Novomed Group, 12-14 rue Sarah Bernhardt, 92600 Asnières-sur-Seine, France
NEVER SOAK IN BLEACH, ALCHOOL, OR OTHER CHEMICALS.
Clean the pessary before first using it.
www.pessaires.com
info@gyneas.com