Prolapse Pessaries 1st and 2nd degree 3rd degree

Stress Urinary Incontinence /Incompetent Cervix Cystocele and Retrocele Incompetent Cervix

Incontinence Incontinence Pessaries and Devices

Pessaries recommended for 3rd Degree Prolapse/Procidentia

Donut Silicone Pessary Replaces Red Rubber Donut The Donut Flexible Pessary (formerly the red rubber donut), is one of the traditional pessaries which offers effective support for third degree prolapse/procidentia. Not to be deflated during insertion or removal. See INFLATO BALL if a deflatable pessary is necessary. Pessary being inserted Pessary in position

Milex Code: KPDO + Size Diameter in inches Diameter in mm 2" 51 2 1/4" 57 2 1/2" 64 2 3/4" 70 3" 76 3 1/4" 83 3 1/2" 89 3 3/4" 95 SCREENED AREA indicates sizes recommended for office fitting. With these sizes you will be able to fit 85.0% of the patients.

Inflatoball For mild cystocele or rectocele associated with a procidentia/prolapse. The unique design permits individualized fitting and adjustments by varying the amount of air pressure within the pessary. The fully deflated pessary is easy to insert or remove even with a narrow introitus. Inflatoball is sometimes the only pessary the patient can tolerate. Patient must be taught how to insert, clean and reinsert this pessary daily. Pessary being inflated *Made of treated natural latex rubber to minimize allergic reactions. LATEX Procedure Code: 57160 Supply Code: 99070 HCPCS Code: A4561 (Rubber pessary only)

Milex Code: KPINF + Size This product is made from natural rubber latex which can cause allergic reactions in some individuals. Diameter Sizes when inflated. Size Diameter in inches Diameter in mm S 2" 51 M 2 1/4" 57 L 2 1/2" 64 XL 2 3/4" 70 SCREENED AREA indicates sizes recommended for office fitting. With these sizes you will be able to fit 85.2% of the patients.

Gellhorn Pessaries
The Gellhorn Pessaries require a relatively capacious vaginal vault so that the base is broad enough to rest above the levators.*

Silicone Flexible Pessary Flexible Gellhorn multiple- drain pessary is one of the traditional pessaries used for prolapse. It offers effective support in third-degree prolapse/procidentia. Its flexibility allows for easier insertion and removal than the traditional Gellhorn Rigid Pessary. Milex Code: KPGE + Size
95% Rigid Silicone Pessary The 95% Silicone multiple- drain Gellhorn’s slight flexibility provides greater comfort than Rigid Gellhorn, plus it provides similar support. Milex Code: KPGRS + Size
Rigid Acrylic Pessary A traditional pessary used for prolapse. It offers effective support in third-degree prolapse/procidentia Milex Code: KPGR + Size

Pessary being inserted	Pessary in position		Sizes in inches Sizes in mm 1 1/2" 38 1 3/4" 44 2" 51 2 1/4" 57 2 1/2" 64 2 3/4" 70 3" 76 3 1/4" 83 3 1/2" 89 SCREENED AREA indicates sizes recommended for office fitting. With these sizes, you will be able to fit 85.2% of patients.
The cervix rests behind the flat base of the pessary, and only the stem shows in the vaginal entrance when doing a valsalva maneuver. * Miller Davis S. Contemporary Use of the Gynecology and Obstetrics Pessary Volume 1 Chapter 39, J.B. Lippincott 1995.

Special Order Third Degree Prolapse Pessary GELLHORN with Short Stem Flexible Silicone Milex Code: KPGSS+Size Gellhorn Flexible Silicone Pessary available with short (1") stem on special order.

All Special Order Pessaries Allow 30 days for delivery No returns on special orders

Pessaries recommended for 3rd Degree Prolapse/Procidentia and/or Vaginal Wall Prolapse

Cube Silicone Flexible Pessary Cube: Support for third-degree prolapse/procidentia. Size Inches mm 0 1" 25 1 1 3/16" 30 2 1 3/8" 35 3 1 1/2" 38 4 1 5/8" 41 5 1 3/4" 44 6 2" 51 7 2 1/4" 57 SCREENED AREA indicates sizes recommended for office fitting. With these sizes, you will be able to fit 85.2% of patients. The CUBE pessary has no area for drainage and should be removed nightly. Silicone cord is for location only NOT to be pulled to remove pessary.

CUBE WITH HOLES AVAILABLE AS SPECIAL ORDER Milex Code: KPECH+Size Milex Code: KPEC + Size Pessary in position

Tandem-Cube Silicone Flexible Pessary TANDEM-CUBE: Support for third-degree prolapse/procidentia when single Cube (above) provides inadequate support. The silicone TANDEM-CUBE pessary is now available in 6 sizes. SIZE IN inches mm 2/0 1 3/8" / 1" 35mm & 25mm combined length 60mm 3/1 1 1/2" / 1 3/16" 38mm & 30mm combined length 68mm 4/2 1 5/8" / 1 3/8" 41mm & 35mm combined length 76mm 5/3 1 3/4" / 1 1/2" 44mm & 38mm combined length 82mm 6/4 2" / 1 5/8" 51mm & 41mm combined length 92mm 7/5 2 1/4" / 1 3/4" 57mm & 44mm combined length 101mm SCREENED AREA indicates sizes recommended for office fitting. With these sizes, you will be able to fit 85.2% of patients. The TANDEM-CUBE has no area for drainage and should be removed nightly.

Milex Code: KPECT + Size Pessary in position

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