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Club pessary with lubricant

Club pessary is used in patients with grade 3 to 4 prolapse of the vagina and uterus. This contains lubricant, instruction manual and exercise sheet
Stock Status : In Stock
Product Code : MD Club
Product Brand : Medesign
Product Condition:   New
Lubricant required
Discreet storage bag
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 For treating severe prolapse. The shaft in the club pessary prevents tilting and slipping.

A descent of the pelvic floor or prolapse occurs when when organs leave their accustomed place. Normally, the uterus and vagina are attached by connective tissue tape-style and by a strong shell around the vaginal wall at the bony pelvis. With a weakening of the pelvic floor muscles, connective tissue structures give way, so the vagina falls down.
The position of bladder and rectum can be affected.
About one in three women over 45 years suffer from a more or less severe form of such a genital prolapse.

After about three weeks, a smaller pessary should be inserted as the lower vaginal tissue shrinks relatively fast. Often the pessary can be replaced by a cube after a couple of weeks.

Directions for use:
The ring edge is lubricated with Ladysoft Lubricant and gently inserted edgewise and in an oblique direction to avoid the urethral opening while the perineum is pushed strongly downward. It is introduced into the vagina by a corkscrew-like motion. Once within the vaginal lumen, the pessary is pushed upward until only the extremity of the stem shows in the vaginal entrance.

Removal, which is mostly more difficult, is performed as follows: Thoroughly lubricate the vaginal area and the club pessary with Ladysoft Lubricant. Then pull the stem of the Gellhorn Pessary up until it stops at the symphysis. A bulge as thick as a finger may form in in the anterior vaginal wall. This obstacle must be pushed past the edge of the pessary with the other hand.

Sizes range from 50mm to 90mm in 5mm increments.
The pessary with the smallest diameter that supports the pelvis should be prescribed.

Clean the pessary with warm water. Autoclaving or boiling can be also effective.

Recommended lubricants are Yes lubricant and Lady soft lubricant.

1 club pessary
1 lady soft lubricant
1 instruction manual
1 pelvic  floor exercise sheet

Table of ease of use:
The team at C&G Medicare Ltd are educators in pessary use. We have created a table to help you understand the pessaries and their uses. If you have any questions please contact us. 0871 218 1233 ask for a call back to any landline.

       Various Types of Pessaries and Their Uses
Type Uses Sizes Insert & remove Removal for Intercourse
Slight cystocele, Rectocele, Stress Incontinence
Bladder neck and urethra support
One size
Ring Mild uterine prolapse and mild incontinence 64mm to 100mm
Easy -Medium Not necessary
Donut Moderate uterine prolapse 64mm to 76mm Medium Yes
Thick Ring Mild uterine prolapse without sever incontinence 50mm to 100mm Yes
Urethra ring Urinary stress incontinence or  mixed forms of incontinence 45mm to 100mm
Medium Not necessary
Urethra Bowl Urinary stress incontinence with sever descensus 55mm to 90mm Medium Yes
Ring with support Mild uterine prolapse 64mm to 76mm Medium Yes
Incontinence dish Urinary stress incontinence 64mm to 76mm Medium Yes
Dish with support Urinary stress incontinence with mild prolapse and mild cystocele 64mm to 76mm Medium Yes
Gellhorn Moderate uterine prolapse 57mm to 70mm Difficult Yes
Club Moderate to severe uterine prolapse 50mm to 90mm Difficult Yes
Inflatable Moderate to severe uterine prolapse. Also for multiple prolapses Medium and large Easy Yes
Cube Moderate to severe uterine prolapse (good if patient is unable to support a ring) 25mm to 45mm Medium Yes
Tandem (custom made) Moderate to severe uterine prolapse (supports cystocele & lower rectocele also) Mix of 2 cube sizes may be used Medium Yes
Gehrung with or w/o knob Moderate to severe cystocele
Mild to severe uterine prolapse
Mild rectocele  (depending on where in bowel)
64mm to 76mm
Not necessary
Hodge with or
w/o Support
Urinary stress incontinence for the woman who has a small vaginal introitus 55mm to 95mm Medium Not necessary
Mar-land with or w/o support Moderate uterine prolapse, a cystocele or rectocele 57mm to 95mm Medium Not necessary
Bowl or
Sieve Bowl
Mild vaginal vault and uterine prolapse 50mm to 100mm Difficult Not necessary
Oval Mild uterine and cystocele 51mm to 102mm Difficult Yes
T Pessary B type Mild cystocele, enterocele and rectocele as well as urinary stress incontinence 20mm to 36mm Easy Yes
T Pessary R type Mild cystocele, enterocele and rectocele as well as urinary stress incontinence 20mm to 36mm Easy Yes
Cramer Urinary stress incontinence 50m to 90mm Medium Not necessary
Cerclage (2 types)
Used to treat pregnant women with an incompetent cervix. 32mm Ø 17mmH
35mmØ 25mm H
Medium Not necessary
Shaatz Mild uterine prolapse complicated by a mild cystocele 38mm to 89mm Medium/ difficult Yes
Smith or Risser Designed for patient with shallow pubic notch
Used for retroverted uterus in pregnancy
Urinary stress incontinence and mild cystocele
55mm to 95mm Difficult Not necessary
Introl Urinary stress incontinence Medium Not necessary



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