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Pessary kit or various
sizes of different pessaries
Fluid absorbent pads
atrophic changes, and vaginal ulcerations should be treated and
fully resolved before the use of the pessary.
Silicone or latex allergy
(if using an Inflatoball)
PEARL: If severely atrophic epithelium
noted, the use of vaginal estrogen cream will help prevent
erosions and aid in comfort.
PITFALL: If the patient is unable to void,
the pessary is too large and the next smaller size should be
PITFALL: Some patients are unable to
remove the pessary on their own. In this case, the patient
should return to the office every 6 to 8 weeks for removal,
cleaning of the pessary, and inspection of the vaginal
PEARL: If the patient is unable to remove
the pessary daily, she should insert one applicator of
Trimo-San into the vagina three times per week to help
decrease the amount and odor of the vaginal discharge.
Bleeding or spotting
Vaginal erosion or
Bowel or bladder
expulsion or shifting
Inc., 311 N. Normandy, Chicago, IL 60634 (phone:
1-800-621-1278; Web site: http://www.milexproducts.com).
Windward Ridge Parkway, Suite 170, Alpharetta, GA 30005
(phone 1-888-987-6633; Web site: http://www.uromed.com).