Alternative to surgery for SUI

Woman must be comfortable with inserting and removing products in the vagina (i.e. tampons, diaphragm)

Thickness of vaginal epithelium important for comfortable insertion and use

Women with vaginal atrophy may need local estrogen supplement (See presentation on vaginal atrophy)

Indications for use
The uresta® pessary is indicated for use in adult women over 18 years of age who experience involuntary urine loss with physical activity (stress incontinence).

A Quick & Easy Assessment Tool - only 6 questions to determine what type of urinary incontinence your patient has.

Contraindications
Patients should not use this product if:

• They are under 18 years of age
• They are pregnant
• During sexual intercourse
• They have had recent vaginal surgery
• During menstruation
• Abnormal vaginal bleeding
• Excessive vaginal discharge
• Vaginal soreness
• Vaginal itching
• Any foul odor associated with vaginal discharge

Warnings

• Each uresta® pessary is for use with a single patient only
• The uresta® pessary should be removed regularly to clean it. Improper washing and care may lead to a risk of infection
• Direct your patients to remove the uresta® pessary and report to you if they have any of the following symptoms:
  • Difficulty urinating
  • Unexpected vaginal bleeding
  • Burning with urination and / or a need to urinate more often
  • Vaginal itching

Toxic Shock Syndrome (TSS) is considered a serious and sometimes fatal disease caused by toxin-producing strains of Staphylococcus aureus bacterium. TSS has been linked to high absorbency and prolonged use of tampons. Symptoms of TSS often mimic the flu and can include sudden high fever, vomiting, diarrhea, dizziness, fainting or a rash that looks like sunburn during menstruation or a few days after. Patients should be counseled that if they experience any of these symptoms while using the uresta® pessary, remove it and immediately contact their physician.

Adverse Events
The following adverse events may be associated with use of a vaginal pessary. Your patients should be told to report to you if they have any of the following symptoms when using the uresta® pessary:
 

• Discomfort - if pessary is uncomfortable after the correct size has been properly fitted and inserted
• Pain – any pain with pessary use
• Spotting – small amounts of bleeding from the vagina
• Dysuria – pain upon urination
• Vaginal Discharge – copious vaginal discharge with abnormal odor
• Erythema – redness or irritation in the vagina
• Ulceration – abrasion which has damaged the vaginal epithelium
• Infection – evidence of a yeast infection or bacterial vaginosis

Your patients should know:

1. When the uresta® pessary is properly fitted they will not feel it. Women use it when running marathons, riding horses, dancing, or playing the bagpipes. View our success stories.
    
2. It should be removed and washed off daily.
    
3. Self-positioning – once inserted it naturally fits and stays in place.

Download a presentation “Management of Vaginal Atrophy”.