{"title":"Pessaries","description":"\u003ch2\u003eSuccessful against prolapse and incontinence\u003c\/h2\u003e  \u003cp\u003ePessary therapy for prolapse and urinary incontinence is much better than its reputation suggests! Gone are the days when pessaries caused foul-smelling discharge, infections, and ulcerations. This traditional treatment method has returned with more modern, much more comfortable pessary designs made of special silicone developed specifically for pessary therapy.\u003c\/p\u003e  \u003cp\u003eThis resurgence is also due, not least, to the sobering results of prolapse and incontinence surgeries. The long-term outcomes are far from what most surgeons had expected.\u003c\/p\u003e  \u003cblockquote\u003e  \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u0026quot;More than 20 years of experience in the development and production of pessaries form the basis for quality and cost-effectiveness at our company.\u0026quot;\u003c\/em\u003e\u003c\/strong\u003e\u003c\/p\u003e  \u003c\/blockquote\u003e  \u003cp\u003eUterine prolapse is usually a consequence of obstetric injuries or a congenital weakness of the connective tissue. The uterine ligaments and the supporting pelvic floor muscles are no longer able to perform their function. The uterus descends, leading to feelings of pressure and back pain, chafing, ulcers, and bleeding. A urethrocele, cystocele, or rectocele often occurs with prolapse. A urethrocele promotes stress incontinence because the urethra opens in a funnel shape during straining.\u003c\/p\u003e  \u003cp\u003eA cystocele, especially if it prolapses, can kink the urethra and consequently cause micturition problems and urinary retention; and a rectocele finally causes defecation problems.\u003c\/p\u003e  \u003cp\u003eVarious types of pessaries have proven effective in treating urinary incontinence and prolapse: the urethral pessary, the cube pessary, the ring pessary, and the sieve-bowl pessary.\u003c\/p\u003e  \u003cp\u003eThe ring pessary is used for prolapse and stress incontinence, but also to prepare for prolapse surgery and to loosen scar tissue (z.B.  (after vaginal wall repair). The cube pessary is used to treat uterine prolapse, descent without urinary incontinence, cystocele, rectocele, and scar tissue loosening.\u003c\/p\u003e  \u003cp\u003eThe urethral pessary rests on the medial portion of the levator ani muscle. This pessary repositions the prolapsed urethra and also shifts the proximal urethra ventrally and superiorly, thus reducing the occlusion pressure. Significantly improved. However, if the levator ani muscle is weak and insufficient, the ring pessary will not stay in place. Therefore, if it doesn't stay in place for a woman with stress incontinence, you can switch to a cube pessary.\u003c\/p\u003e  \u003cp\u003eThis type of pessary is based on a different principle of action, as cube pessaries adhere to the vaginal wall like suction cups. This results in stabilization and firmness. Cube pessaries also replace all other \u0026quot;special constructions\u0026quot; of earlier times in cases of genital descent and prolapse (with insufficient levator ani). \u003c\/p\u003e  \u003cp\u003eWhen a cube pessary is used to reposition a cystocele, it can occasionally reveal underlying stress incontinence. In such cases, a switch to a ring or sieve-shell pessary is necessary.\u003c\/p\u003e  \u003cp\u003eAll patients with cystocele, rectocele, and uterine descent or prolapse should first be treated with cube pessaries before surgery is considered. The smallest cube that still adheres is chosen. After the first and second month of treatment, it is usually possible to switch to a smaller cube each time.\u003c\/p\u003e  \u003cp\u003eIn over a third of cases, permanent repositioning (without a pessary) is achieved after 3-5 months; surgery is unnecessary. However, in the remaining patients, where permanent repositioning and satisfactory symptom relief are not achieved despite bladder and pelvic floor exercises and local estrogen therapy, surgery is unavoidable.\u003c\/p\u003e  \u003cp\u003eOf course, there's nothing wrong with lifelong pessary therapy.Since the patients remove the cube pessary in the evening and reinsert it in the morning using Ladysoft as a lubricant, good tissue relief and hygiene are ensured.\u003c\/p\u003e","products":[{"product_id":"cerclage-pessar","title":"Cerclage pessary","description":"  \u003cp\u003e\u003cem\u003e\u003cstrong\u003eIt enables the prevention of cervical insufficiency and thus of late miscarriage or premature birth without surgical intervention.\u003c\/strong\u003e\u003c\/em\u003e\u003c\/p\u003e\u003cp\u003eSurgical cerclage is the classic way to prevent cervical insufficiency and thus a late miscarriage or premature birth.\u003cbr\u003e  \u003cbr\u003e In many cases, a comparable effect can also be achieved without surgery: with \u003cem\u003e\u003cstrong\u003emedesign Cerclage Pessaries\u003c\/strong\u003e\u003c\/em\u003e.  This completely safe therapy, based on more than 10 years of experience worldwide, is now considered an alternative to surgery. Success rates for both methods range between 80% and 90%.\u003c\/p\u003e\u003cp\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cstrong\u003eFurther information\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eThe size specifications refer to inner diameter\/outer diameter\/height.\u003c\/p\u003e","brand":"medesign I.C. GmbH","offers":[{"title":"32\/65\/21mm","offer_id":52442182189399,"sku":"MED1000050","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"32\/65\/17mm","offer_id":52442182222167,"sku":"MED1000084","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"32\/65\/25mm","offer_id":52442182254935,"sku":"MED1000086","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"32\/70\/17mm","offer_id":52442182287703,"sku":"MED1000087","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"32\/70\/21mm","offer_id":52442182320471,"sku":"MED1000088","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"32\/70\/25mm","offer_id":52442182353239,"sku":"MED1000089","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/65\/17mm","offer_id":52442182386007,"sku":"MED1000090","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/65\/21mm","offer_id":52442182418775,"sku":"MED1000091","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/65\/25mm","offer_id":52442182451543,"sku":"MED1000092","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/65\/30mm","offer_id":52442182484311,"sku":"MED1000093","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/70\/17mm","offer_id":52442182517079,"sku":"MED1000094","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/70\/21mm","offer_id":52442182549847,"sku":"MED1000095","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"35\/70\/25mm","offer_id":52442182582615,"sku":"MED1000096","price":69.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0976\/1403\/7335\/files\/med1000084_cerclage-pessar-32x65x17_08b68970-095e-4d7f-9c41-cc3a812f3ca3.jpg?v=1774354589"},{"product_id":"urethra-pessar","title":"Urethra pessary","description":"  \u003cp\u003e\u003cem\u003e\u003cstrong\u003eProven in practice for 40 years, it supports the urethra and improves the sphincter function.\u003c\/strong\u003e\u003c\/em\u003e\u003c\/p\u003e\u003cp\u003eThe causes of involuntary urinary incontinence vary depending on the specific type. In most cases, urinary leakage is a sign of an anatomical or functional disorder.\u003cbr\u003e  \u003cbr\u003e The urethral pessary, an elastic ring with a domed top, has proven its worth in practice for approximately 40 years. The thickening at the upper edge supports the urethra, which descends during straining and coughing, and improves its sphincter function.\u003cbr\u003e The thin part of the urethral pessary is first inserted with some lubricant (z.B.LadysoftWhen placing the pessary, it must be positioned exactly under the urethra. Without sexual intercourse, the urethral pessary very rarely shifts.\u003cbr\u003e  \u003cbr\u003e If urine leakage occurs despite the ring being correctly positioned, the position of the sphincter must be checked or a larger pessary must be chosen.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003eThe urethral pessary contains a metal spring for stabilization.\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e 1 pessary with instructions for use\u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. GmbH","offers":[{"title":"45mm","offer_id":52442190709079,"sku":"MED1000060","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"55mm","offer_id":52442190741847,"sku":"MED1000061","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"60mm","offer_id":52442190774615,"sku":"MED1000062","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"65mm","offer_id":52442190807383,"sku":"MED1000063","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"70mm","offer_id":52442190840151,"sku":"MED1000064","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"75mm","offer_id":52442190872919,"sku":"MED1000065","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"80mm","offer_id":52442190905687,"sku":"MED1000066","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"85mm","offer_id":52442190938455,"sku":"MED1000067","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"90mm","offer_id":52442190971223,"sku":"MED1000068","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"100mm","offer_id":52442191003991,"sku":"MED1000069","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"95mm","offer_id":52442191036759,"sku":"MED1000070","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"50mm","offer_id":52442191069527,"sku":"MED1000437","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Adjustment set: 65, 70, 75, 80 mm","offer_id":52442191102295,"sku":"MED1000765","price":160.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0976\/1403\/7335\/files\/MED1000060_Urethra-Pessar-45mm.jpg?v=1774354605"},{"product_id":"urethra-schalen-pessar","title":"Urethra cup pessary","description":"  \u003cp\u003e\u003cem\u003e\u003cstrong\u003eIn cases of more severe prolapse, it offers better support than the urethral pessary.\u003c\/strong\u003e\u003c\/em\u003e\u003c\/p\u003e\u003cp\u003eIf the uterus's supporting structures and the pelvic floor muscles are too weak to hold the uterus in its position, a uterine prolapse occurs. The cause of the prolapse is a weakening of the pelvic floor. z.B.  Rapidly spaced births, very large babies, or multiple births can cause bladder and bowel dysfunction, such as involuntary urinary incontinence, which are often unpleasant accompanying symptoms.\u003cbr\u003e\u003cbr\u003eThe medesign urethral cup pessary is a combination of a cerclage pessary and a specially shaped cup that is positioned directly beneath the urethra. The thickening at the upper edge supports the urethra, which descends during straining and coughing, and improves its closure function. Its robust body is superior to the 'sensitive' urethral pessary in cases of more pronounced prolapse. \u003cbr\u003e\u003cbr\u003eNevertheless, the patient is advised to remove the urethral cup pessary in the evening.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003eDue to the large contact area, the pressure load on the tissue is reduced.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use \u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. GmbH","offers":[{"title":"55mm","offer_id":52442200113495,"sku":"MED1000071","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"60mm","offer_id":52442200146263,"sku":"MED1000072","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"65mm","offer_id":52442200179031,"sku":"MED1000073","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"70mm","offer_id":52442200211799,"sku":"MED1000074","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"75mm","offer_id":52442200244567,"sku":"MED1000075","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"80mm","offer_id":52442200277335,"sku":"MED1000076","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"85mm","offer_id":52442200310103,"sku":"MED1000077","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Adjustment set: 65, 70, 75, 80 mm","offer_id":52442200342871,"sku":"MED1000488","price":185.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0976\/1403\/7335\/files\/MED1000071_Urethra-Schalen-Pessar-55mm585a5f6bc7f2d.jpg?v=1783579957"},{"product_id":"wurfel-pessar","title":"Cube pessary","description":"  \u003cp\u003e\u003cstrong\u003e\u003cem\u003eUnrivaled for most forms of genital prolapse.\u003c\/em\u003e\u003c\/strong\u003e\u003c\/p\u003e\u003cp\u003eDue to the evolution of bipedalism, the human pelvic floor is exposed to the effects of gravity. The female pelvic floor is particularly affected. Therefore, pelvic organ prolapse is one of the most common conditions in gynecology.\u003cbr\u003e  \u003cbr\u003e The likelihood of developing genital prolapse increases with age. Factors such as a deficiency of female hormones, obesity, heavy physical labor, dietary habits, or genetically determined tissue weakness increase the risk.\u003cbr\u003e  \u003cbr\u003e Conservative treatment for pelvic organ prolapse, which is performed on an outpatient basis, includes hormone therapy, pelvic floor exercises, electrotherapy, and the use of pessaries. To date, cube pessaries remain unsurpassed, especially for self-treatment. Due to their excellent adhesion and very simple application, cube pessaries are suitable for most forms of pelvic organ prolapse.\u003c\/p\u003e\u003cp\u003eThe inwardly curved surfaces of the cube pessary adhere to the vaginal wall, and the edges of the cube support the tissue.\u003cem\u003e\u003cstrong\u003e medesign cube pessary\u003c\/strong\u003e\u003c\/em\u003e It repositions the organs into the anatomically correct position and counteracts the prolapse or descent of the vagina, uterus, bladder or intestines.\u003c\/p\u003e\u003ch2 class=\"clearer\"\u003e\u003cspan style=\"font-size: medium;\"\u003eFurther information\u003c\/span\u003e\u003c\/h2\u003e\u003cp\u003eThe \u003cem\u003e\u003cstrong\u003emedesign Cube Pessary Fitting Set\u003c\/strong\u003e\u003c\/em\u003e It allows for adjustment of the pessary size in the doctor's office and includes sizes 1, 2, 3, and 4.\u003c\/p\u003e\u003cp\u003e\u003cem\u003e\u003cstrong\u003emedesign cube pessaries\u003c\/strong\u003e\u003c\/em\u003e The pessaries are inserted by the patient herself in the morning and removed again in the evening. These cubes, which are small compared to ring pessaries, can be easily inserted and removed again using the drawstring. The nightly relief of pressure on the mucous membrane and pelvic tissue represents a significant advantage over all other types of pessaries.\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eScope of delivery\u003cbr\u003e\u003c\/strong\u003e1 pessary with instructions for use\u003cbr\u003e1 Ladysoft lubricant 30ml with instructions for use\u003c\/p\u003e","brand":"medesign I.C. GmbH","offers":[{"title":"Gr. 0-25mm","offer_id":52442200441175,"sku":"MED1000078","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. 1 - 29mm","offer_id":52442200473943,"sku":"MED1000079","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. 2 - 32mm","offer_id":52442200506711,"sku":"MED1000080","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. 3 - 37mm","offer_id":52442200539479,"sku":"MED1000081","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. 4 - 41mm","offer_id":52442200572247,"sku":"MED1000082","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. 5 - 45mm","offer_id":52442200605015,"sku":"MED1000083","price":59.0,"currency_code":"EUR","in_stock":true},{"title":"Adjustment set size. 1, 2, 3, 4","offer_id":52442200637783,"sku":"MED1000487","price":185.0,"currency_code":"EUR","in_stock":true},{"title":"Adjustment set sizes 5,6,7,8,9","offer_id":53299476922711,"sku":"MED1002440","price":260.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0976\/1403\/7335\/files\/MED1000078_W-rfel-Pessar-7.jpg?v=1783579960"},{"product_id":"cerclage-pessar-hamann-jorde","title":"Cerclage pessary Hamann \u0026 Jorde","description":"  \u003cp\u003e\u003cstrong\u003e\u003cem\u003eFor the prevention and treatment of threatened premature birth.\u003c\/em\u003e\u003c\/strong\u003e\u003c\/p\u003e\u003cp\u003eOne of the possible causes of premature birth is cervical insufficiency: the cervix shortens and the cervix dilates prematurely. It most commonly occurs between the fourth and sixth months of pregnancy and can have various causes. Sometimes it is a consequence of previous difficult births or a previous miscarriage; infections or uterine surgery can also lead to cervical insufficiency.\u003cbr\u003e  \u003cbr\u003e The cerclage device patented by Dr. Hamann and Dr. Jorde offers significant advantages for obstetric practice. \u0026amp; Support pessary for the prophylaxis and therapy of threatened premature birth.\u003cbr\u003e  \u003cbr\u003e In the sense of 'bloodless cerclage', the cerclage- \u0026amp; A support pessary for cervical insufficiency relieves the pressure directed on the cervix.\u003cbr\u003e  \u003cbr\u003e The pessary is made of medical-grade silicone and is available in three sizes.\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium;\"\u003eFurther information\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eMechanism of action:\u003c\/strong\u003e\u003cbr\u003e - the cerclage \u0026amp; A support pessary closes the cervical canal like a band ('bloodless cerclage').\u003cbr\u003e - An offset central hole in the pessary receives the cervix and pushes it backwards (sacralization of the cervix)\u003cbr\u003e - The cervix is ​​relieved by the pessary being broadly supported on the pelvic floor.\u003cbr\u003e - Shift of intrauterine pressure to the anterior uterine wall due to dorsoventral pessary tilt and sacralization of the cervix uteri\u003cbr\u003e - the cerclage \u0026amp; The support pessary simultaneously causes the shortened and partially open cervix to form or reshape.\u003cbr\u003e - Protection of the lower pole of the egg by the totality of the preceding active components.\u003cbr\u003e  \u003cbr\u003e The size specifications refer to the diameter, length, width, and height of the pessary.\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e 1 pessary with instructions for use\u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. GmbH","offers":[{"title":"Sz.I - Ø 30mm 59\/57\/14mm","offer_id":52442200801623,"sku":"MED1000097","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"Sz.II - Ø 35mm 76\/70\/14mm","offer_id":52442200834391,"sku":"MED1000098","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"Sz.III - Ø 35mm 83\/80\/14mm","offer_id":52442200867159,"sku":"MED1000099","price":69.0,"currency_code":"EUR","in_stock":true},{"title":"Gr. II\/III - 33\/78mm","offer_id":53958849986903,"sku":"MED1002536","price":69.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0976\/1403\/7335\/files\/cerclage-pessar-hj_eb934000-bf95-4af2-bf02-823cb755e30a.jpg?v=1774354622"},{"product_id":"keulen-pessar","title":"Club pessary","description":"  \u003cp\u003e\u003cstrong\u003e\u003cem\u003eFor the treatment of large prolapses. Its stem prevents tilting and slippage.\u003c\/em\u003e\u003c\/strong\u003e\u003c\/p\u003e\u003cp\u003ePelvic organ prolapse occurs when organs move out of their normal position. Normally, the uterus and vagina are attached to the bony pelvis by ligament-like connective tissue structures and a strong membrane surrounding the vaginal wall. When the pelvic floor muscles weaken, these connective tissue structures give way, causing the vagina to descend. The bladder and rectum can also be affected. Nearly one in three women over 45 suffers from some form of pelvic organ prolapse. Conventional treatment using pessaries, selected by a doctor, can alleviate many of the associated symptoms.\u003cbr\u003e\u003cbr\u003eThe \u003cem\u003e\u003cstrong\u003emedesign club pessary\u003c\/strong\u003e\u003c\/em\u003e Made from a special medical-grade silicone, it was developed for the treatment of large prolapses and has been used successfully for years. Its stem provides greater stability, preventing the ring from tilting or slipping out.\u003cbr\u003e\u003cbr\u003eAfter about three weeks, a smaller club-shaped pessary should be inserted, as the lower vaginal tissue shrinks relatively quickly. Often, after several weeks, the pessary can be replaced with a cube-shaped one. Inserting and removing a club-shaped pessary is more difficult than with any other type of pessary.\u003c\/p\u003e\u003cp\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cstrong\u003eFurther information\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e\u003cstrong\u003eInstructions for use\u003c\/strong\u003e:\u003cbr\u003eWhen inserting the ring at an angle, grasp it with your right hand. The ring should be coated with Ladysoft lubricant. Gently push it backward and downward into the vagina, following the path of least resistance and being careful not to damage the sensitive urethral bulge. Once the ring has passed the urethra, turn it to face forward and push it upward as far as possible. The end of the ring is often just visible.\u003cbr\u003eRemoving the pessary, which is usually even more difficult, is done as follows: Thoroughly lubricate the vaginal area and the rim of the pessary with Ladysoft lubricant. Then, pull the handle of the pessary along the vaginal axis until it reaches the symphysis pubis. Often, a finger-thick ridge forms from the flaccid and prolapsed anterior vaginal wall, creating an obstacle. With your free hand, carefully push this ridge along the outer edge of the pessary.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use\u003cbr\u003e1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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The holes reduce the vacuum (RV stands for \u0026quot;reduced vacuum\u0026quot;).\u003c\/strong\u003e\u003c\/em\u003e\u003c\/p\u003e\u003cp\u003eDue to the evolution of bipedalism, the human pelvic floor is subject to the effects of gravity. The female pelvic floor is particularly affected. Therefore, pelvic organ prolapse is one of the most common conditions in gynecology.\u003cbr\u003e  \u003cbr\u003e The likelihood of developing genital prolapse increases with age. Factors such as a deficiency of female hormones, obesity, heavy physical labor, dietary habits, or genetically determined tissue weakness increase the risk.\u003cbr\u003e  \u003cbr\u003e Conservative treatment of genital prolapse, which is performed on an outpatient basis, includes hormone therapy, pelvic floor exercises, electrical stimulation, and the use of pessaries.\u003cbr\u003e  \u003cbr\u003e To this day are \u003cem\u003e\u003cstrong\u003eCube pessaries by medesign \u003c\/strong\u003e\u003c\/em\u003eUnrivaled, especially for self-treatment. Thanks to their excellent adhesion and very simple application, cube pessaries are suitable for most forms of genital prolapse. The holes in the silicone reduce the vacuum, allowing for easier removal of the medesign cube pessary.\u003cbr\u003e  \u003cbr\u003e The cube pessary is inserted by the patient herself in the morning and removed again in the evening. The cubes, which are small compared to ring pessaries, can be easily inserted and removed again using the drawstring. The nightly relief of pressure on the mucous membrane and pelvic tissue represents a significant advantage over all other types of pessaries.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003emedesign cube pessaries made of medical-grade silicone are characterized by good adhesion and very easy application.\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e 1 pessary with instructions for use\u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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This prolapse is caused by a weakness of the pelvic floor, for example, due to the birth of very large babies or multiple births. The uterus and the other organs of the pelvis are no longer held in the correct position.\u003cbr\u003e  \u003cbr\u003e Uterine prolapse is often accompanied by urinary incontinence. Conservative (non-surgical) treatment methods can achieve good results in cases of mild prolapse or slight incontinence. For decades, ring pessaries have proven effective in treating uterine prolapse or vaginal prolapse and the associated urinary incontinence.\u003c\/p\u003e\u003cp\u003eThe larger cross-section of the ring section increases the contact area and reduces the risk of pressure necrosis. \u003cstrong\u003eRing pessaries by medesign\u003c\/strong\u003e are available in various standard sizes, ensuring the highest possible wearing comfort for every patient.\u003c\/p\u003e\u003cp\u003eThe medesign ring pessary fitting set allows for adjustment of the pessary size in the doctor's office and includes sizes 65, 70, 75 and 80 mm.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e 1 pessary with instructions for use\u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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Due to factors such as difficult childbirth, a congenital weakness of the connective tissue and pelvic floor muscles, or being overweight, pelvic organ prolapse (bladder, uterus, vagina, and rectum) can occur. This can result in a feeling of pressure or a foreign body sensation, as well as pulling in the lower abdomen and sacrum. Bladder and bowel dysfunction are often unpleasant accompanying symptoms.\u003c\/p\u003e\u003cp\u003e\u003cem\u003e\u003cstrong\u003emedesign Cramer pessaries\u003c\/strong\u003e\u003c\/em\u003e They are used to treat stress incontinence (involuntary loss of urine) and symptoms caused by a prolapse of the vagina, uterus, and bladder. These prolapses can z.B.  These symptoms can be caused by a congenital weakness of the connective tissue, by hormonal deficiencies after menopause, or by pregnancies and childbirth. Pessary treatment – ​​supported by pelvic floor exercises and, if necessary, estrogen-containing creams – often succeeds in providing lasting relief.\u003cbr\u003e\u003cbr\u003eThe two thickenings at the upper edge of the pessary shift the junction between the bladder and urethra upwards, thus preventing involuntary urine leakage during exertion such as coughing or movement. A prerequisite for wearing a Cramer pessary is that you have not previously undergone vaginal surgery involving vaginal tightening. Furthermore, your pelvic floor must still possess at least some degree of strength.\u003c\/p\u003e\u003cp\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cstrong\u003eFurther information\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eThe Cramer pessary contains a metal spring for stabilization.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use\u003cbr\u003e1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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This prolapse is caused by a weakness of the pelvic floor, for example, due to the birth of very large babies or multiple births. The uterus and the other organs of the pelvis are no longer held in the correct position. \u003cbr\u003e\u003cbr\u003eUterine prolapse is often accompanied by urinary incontinence. Conservative (non-surgical) treatment methods can achieve good results in cases of mild prolapse or slight incontinence. For decades, ring pessaries have proven effective in treating uterine prolapse or vaginal prolapse and the associated urinary incontinence.\u003cbr\u003e\u003cbr\u003e\u003cem\u003e\u003cstrong\u003emedesign Ring Pessaries\u003c\/strong\u003e\u003c\/em\u003e are available in various standard sizes, ensuring the highest possible wearing comfort for every patient.\u003c\/p\u003e\u003cp\u003eThe\u003cem\u003e\u003cstrong\u003e medesign ring pessary adjustment set\u003c\/strong\u003e\u003c\/em\u003e It allows for adjustment of the pessary size in the doctor's office and includes sizes 65, 70, 75 and 80 mm.\u003c\/p\u003e\u003cp\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cstrong\u003eFurther information\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eThe ring pessary (thin) contains a metal spring for stabilization.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use\u003cbr\u003e1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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This can occur during menopause, as the pelvic floor muscles and ligaments that anchor the uterus and vagina in the abdominal cavity weaken. If the prolapse exceeds a certain degree, it can lead to symptoms such as a feeling of pressure and sagging, lower back pain, or problems with urination or bowel movements.\u003cbr\u003e\u003cbr\u003eThe medesign sieve cup pessary helps with mild vaginal and uterine prolapse. Made of supple silicone, it is easily foldable, making insertion and removal simple. Like a ring pessary, the sieve cup pessary can be easily positioned as needed. It can also be inserted upside down.\u003cbr\u003e\u003cbr\u003eThe sieve tray adjustment set allows for adjustment of the pessary size in the doctor's office and includes sizes 65, 70, 75 and 80 mm.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use \u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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This can occur during menopause and earlier, as the pelvic floor muscles and ligaments that anchor the uterus and vagina in the abdominal cavity weaken. If the prolapse exceeds a certain degree, it can lead to symptoms such as a feeling of pressure and sagging, lower back pain, or problems with urination (initially involuntary urine loss) or bowel movements.\u003cbr\u003eOther risk factors for uterine or vaginal prolapse include connective tissue and muscle weakness, previous complicated births, and being overweight.\u003c\/p\u003e\u003cp\u003e\u003cbr\u003eThe medesign EF sieve cup pessary provides support for mild vaginal and uterine prolapse and is easy to use. Made of supple silicone, it is easily foldable, making insertion and removal simple. Like a ring pessary, the sieve cup pessary can be conveniently positioned as needed.\u003c\/p\u003e\u003cp\u003e\u003cbr\u003eThe EF sieve cup pessary is more strongly curved and therefore stiffer than the standard sieve cup pessary. Its soft silicone makes it easy to insert.\u003c\/p\u003e\u003cp\u003e\u003cbr\u003eThe medesign sieve tray pessary EF adjustment set allows for adjustment of the pessary size in the doctor's office and includes sizes 65, 70, 75 and 80 mm.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003e\u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003eMedical-grade silicone\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e1 pessary with instructions for use\u003cbr\u003e1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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A cystocele occurs when the very thin wall between the bladder and vagina becomes too weak, and the bladder partially descends into the vagina. This makes complete bladder emptying impossible, and in most cases, stress incontinence is also present.\u003cbr\u003e  \u003cbr\u003e The \u003cstrong\u003eT-pessary by medesign\u003c\/strong\u003e It can be easily inserted by the woman and removed using the retrieval thread. The various sizes allow for individual adjustment. The specially designed surface largely prevents pressure points on the mucous membrane.\u003cbr\u003e  \u003cbr\u003e Especially during physical exertion \u003cspan class=\"st\"\u003e–\u003c\/span\u003e such as heavy work or sports \u003cspan class=\"st\"\u003e–\u003c\/span\u003e The T-pessary keeps the bladder and intestines in the anatomically correct position.\u003c\/p\u003e\u003ch3\u003eFurther information\u003c\/h3\u003e\u003cp\u003eThe T-pessary type B adheres particularly well to the vaginal wall due to indentations on its surface, thus stabilizing the vagina.\u003cbr\u003e  \u003cbr\u003e The size specification refers to the diameter and length of the pessary in mm.\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003ematerial\u003c\/strong\u003e\u003cbr\u003e Medical-grade silicone\u003cbr\u003e  \u003cbr\u003e  \u003cstrong\u003eScope of delivery\u003c\/strong\u003e\u003cbr\u003e 1 pessary with instructions for use\u003cbr\u003e 1 Ladysoft lubricant with instructions for use\u003c\/p\u003e","brand":"medesign I.C. 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