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Dr Arabin Club pessary

Club pessary is used in patients with grade 3 to 4 prolapse of the vagina and uterus.
Stock Status : In Stock
Product Code : DR ARABIN RING
Product Brand : Dr Arabin
Product Condition:   New
Size
Lubricant required
Discreet storage bag
£37.00
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The club pessary is also known as the Gellhorn pessary, the club pessary may be used in patients with severe prolapse of vagina and uterus (grade 3 to 4).The club pessary is one of the last resorts to use if conventional pessaries do not sustain the pressure and where a cube pessary might increase stress incontinence.

The stem avoids gliding of the upper lying bowl. Before inserting the pessary in severe prolapse, the prolapsed organs have to be gently pushed back in place.


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

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

Lubricants
Recommended lubricants are Yes lubricant and Lady soft lubricant.

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 12330871 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
 
IncoStress
 
Slight cystocele, Rectocele, Stress Incontinence
Bladder neck and urethra support
 
 
One size
 
Easy
 
Yes
Ring Mild uterine prolapse and mild incontinence 64mm to 100mm
diameter
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
diameter
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
 
Difficult
 
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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