MilexTM Pessary Fitting Kit - CooperSurgical

PATIENT FOLLOW-UP:
Have the patient:
• Report immediately any difficulty in urinating
• Report immediately any dis com fort
• Return within 24 hours for first examination
• Return for second examination within 3 days
• Return for examination every 4 to 6 weeks
Note: Above schedule of follow-up examinations may be altered to
fit the needs of the individual patient.
TO REMOVE:
Hook one finger inside the center of
the pessary. Use the thumb and
middle finger to compress the side of
the DONUT (see Figure 3). Use the
finger of other hand to press down
on the perineum. Angle the pessary
and pull gently through the introitus
(see Figure 1).
Figure 3
Note: If necessary, irrigate the vagina after removal of the pessary
(and before reinsertion) to cleanse the vagina of excess discharge
and secretions. HCPCS Supply Number A4320 (Irrigation Tray
with Syringe, any purpose)
During each visit, the vagina should be carefully inspected for
evidence of pressure or allergic reaction. The patient should be
questioned concerning discharge, disturbance of bowel function or
difficulty in urinating. It may be necessary to fit another size or an
entirely different shape pessary.
DO NOT assume that a replacement will be the same size as the
previous one. Check the fitting to ensure patient comfort and relief
of symptoms.
At each checkup, the pessary is removed and cleaned. If there are no
contraindications, the pessary is reinserted.
8