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When is therapy with a Cramer Pessary useful?

Cramer Pessaries are used for treating certain types of incontinence (inability

to control urination or defecation) as well as problems caused by descensus

of the vagina, the uterus, the bladder or the intestine. Descents like this can be

caused by e.g. hereditary weakness of the connective tissue, postmenopau-

sal hormone deficiency or pregnancy and giving birth. Treatment with pessa-

ries - combined with pelvic floor exercise and, if necessary, oestrogen enri-

ched creams - can permanently improve conditions and obviate the need for

the pessary.

How does a pessary work?

The medesign pessary repositions the organs and brings them into the anato-

mically correct position – counteracting a prolapse or descensus of the vagi-

na, the uterus, the bladder or the intestine. Therapy with pessaries is an alter-

native to surgical intervention for the treatment of descensus uteri and

incontinence. The two thickenings of the upper edge of the pessary elevate

the bladder neck and thereby prevent involuntary leakage of urine when the

abdominal pressure is increased during movements like e.g. coughing. A pre-

condition to being allowed to use a Cramer Pessary is that no vaginal operati-

on, that includes a vaginoplasty, has been performed, so that the pelvic floor

is at least somehow stable.

Which pessary is the right one for me?

Selecting the correct size is a prerequisite for ideal treatment and freedom

from symptoms. medesign’s Cramer Pessaries are offered in various sizes

(50 - 90 mm). The pessary, which is smallest in size, yet resting securely

should be chosen. Your gynaecologist will determine the right size for you.

He/She does this by fitting the pessary while you are in a lying position with a