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Posts tagged ‘prolapse’

Gehrung pessary suitable for cystocele, rectocele and procidentia

Gehrung Pessary:
The Gehrung pessaries are available with or without support knob in Milex, please note that Bioteque no longer supply the gehrun with knob into the UK.

The Gehrung is suitable for women presenting a cystocele and/or rectocele. They are also very effective treating procidentia where the uterus tends to herniate when other pessaries are used.

Fitting the Gehrung: If being fitted using the one with knob support, this gehrung should be fitted with a full bladder then you will be asked to empty the bladder post fitting. This ensures the knob is positioned properly and you can empty your bladder properly. The one without the knob, it isn’t necessary to fit with a full bladder, however the patient must be able to empty the bladder fully when the gehrung is inserted.
I would suggest you irriagate the vagine prior to fitting, this removes any loose membrane and excess secretions, which could potentially get trapped between the vagina and pessary and cause an unpleasant smell later on.

Please be aware that the gehrung is one of the most difficult pessaries to fit and should only be fitted and removed by your medical professional trained in pessary fitting.

Those with endometriosis, this may not be suitable for you and should be discussed with your doctor.

The gehrung is made from medical grade silicone and the arch can be manipulated to support the rectocele.

Gehrung fitting pessary

Are you a medical professional and would like to know more about our educational program on pessaries. Please get in touch via www.candgmedicare.com

Order gehrung pessaries

Feel like you’re coughing your guts out?

APOPS new logo jpgCredit to Sherrie Palm founder Associateion for Pelvic Organ Prolapse Support

It’s flu season; you’re hacking and hacking until you feel like your bottom end is going to blow out. And it just might be. if you’re like me you start to ramp up the germ-phoebe aspect of your personality around this time of year. We all start paying more attention to washing our hands, get nervous about grabbing the door at stores we shop at, walk the other way when we hear someone  coughing. No one wants to get the flu. Yet despite the extra protective measures we take, we somehow manage to contract it. The majority of us are exposed to hundreds of germ infested surfaces every day; there’s just no way to get around it beyond wrapping ourselves in one of those protective bubbles. Not a very user friendly way to avoid getting sick.

I recently returned from a trip overseas and had concerns about being in airplanes and airports, knowing that the odds of my catching a bug were increased by being exposed to so many people in an enclosed environment. Every time someone coughed on the plane I thought to myself “keep your hands off your face, keep your hands off your face,” reciting it to myself like some kind of magical mantra that would protect me. Although I felt badly for the young child coughing non-stop a few rows up from me on the airbus, I equally worried that somehow the germs would float back to me in the recycled air of the plane.

Somehow I managed to make the long journey in both directions and come home with my body flu-free. Lucky me, I figured now I could relax. Then the inevitable happened-……read more (more…)

Pessary for pelvic organ prolapse

Following the success of the forum around education for pessary use in the management of pelvic organ prolapse, Gaynor Morgan CEO of C&G Medicare Ltd has set up a website to help those who seek information. www.incostress.com

Pessary pick of the month is a helpful educational tool to keep patients and doctors updated about the latest information around pessaries and their uses. Have a look at the full slide show for pessaries here.

Image    Image

Pessaries have been around for centuries and their development has taken to different shapes and materials used, but the end result is the same, pessaries are there to suppor the pelvic organ prolapse. It will not cure a pelvic organ prolapse but it will help offer a better quality of life to the user.

Pessaries are used to treat cycstoceles, rectoceles,urtheroceles,enteroceles, uterine prolapse and vaginal vault.

Gaynor Morgan heads up APOPS Europe (Association for pelvic organ prolapse support Europe) a non profit org founded by Sherrie Palm.

Mumsnet has recognised the significance in the work APOPS is doing worldwide and has added the link to the pelvic floor section of their site.

For more information read Sherrie Palms book Pelvic Organ Prolapse the silent epidemic.


Medical staff please ask for the educational brochures for your clinics. Lets beat pelvic organ prolapse secrecy.


Dribbly women don’t dance – incontinence and exercise.

Dribbly women don’t dance – incontinence and exercise by Elaine Miller physiotherapist

 If you are reading this you are not my audience.  Sorry.  The fact that you are reading something to do with incontinence suggests that you already have an understanding about the condition, are comfortable getting information about it, and are keen to learn more. So, you either are, or, will be, alright.

The people I fret about are the millions of women who are living with their leaking and not yet seeking help.  They just put up with having poor bladder control, pad up, and feel a bit disappointed.

Well, I say “feel a bit disappointed”.  In fact is that a third of them go on to develop clinical depression.  Of course, exercise is commonly recommended for managing mood disorders – but, if you leak when you run, well, you’re not going to go for a run, are you?

And, therein lies the huge public health rub.

Diseases of inactivity, like coronary heart disease, kill women.  One in eight UK women die from heart disease.  Exercise isn’t just about being able to keep up with the kids, or beating the blue, it’ll keep us alive.

But, speaking as someone who peed herself during zumba…it is very difficult to be physically active and avoid impact on your pelvic floor.

When I rule the world, some pieces of gym equipment will carry “pelvic floor warning” signs.  Rowing machines, reclining bikes, a loaded leg press – yep, wouldn’t want anyone with a prolapse on those things.  Oh, or trampolines, those things can have a label on them.  And, the plank, star jumps, tennis, lunges, I could go on.

In fact, I’d force incontinence pad manufacturers to print pelvic health advice on their packaging.  And, while we’re at it, they can fix that awful glue which comes unstuck and allows the pad to attach itself to your labia instead of your gusset…ouch.

So, we’ve got a classic Catch 22.  In order to reduce your risk of pelvic organ prolapse and your symptoms of stress incontinence you need to keep your weight under control.  But, you wet yourself at zumba, so aren’t keen…

Pelvic floor friendly exercises have reduced impact forces – like swimming, cycling, pilates (when it’s well taught and you are absolutely sure your technique is good), speed/power/Nordic pole/hill walking, aqua-aerobics and low-intensity cross trainers.

However, runners?  They wanna run, not walk, they want to run. That’s when internal support can be helpful, Sherrie Palm (she knows everything there is to know about pelvic floors) says that pessaries like incostress should be used when a woman is participating in acvities with impact.

Now, that does not mean that you can shove in a grade 4 prolapse with an incostress and get back to athletics training…but, it does mean that if you have a mild prolapse, or mild stress incontinence symptoms, and you are complying with a pelvic floor strengthening regime which your physiotherapist has given you, AND you use internal support – well, you just might manage to get back to zumba.

Ask me how I know.

Credited to  Elaine Miller Gussie Grippers

Elaine Miller on of the UKs leading physiotherapists who has a post-grad in sports medicine. She focuses her energy on helping women overcome pelvic floor disorders and incontinence and breaks down the taboo through her humour and pelvic floor parties where she has a one hour solo show entitled ‘Gusset Grippers’. Look out for Gusset Grippers at Edinburgh Fringe Festival this August. An amazing lady who fears no pelvic floor!

Find out more about Gusset Grippers on the Gusset Grippers website 

Elaine’s blog and more information on where to see Elaine at the Edinburgh Festival


Sherrie Palm shares her innermost secrets, experience and advice in her award winning book Pelvic Organ Proalpse the silent epidemic

Find out why so many medical professionals are passing this book onto their patients.

Order Pelvic Organ Prolpase today and help support women with pelvic organ prolapse issues

Click here to order your copy today 

Pelvic Organ Prolapse the silent epidemic

Pelvic Organ Prolapse the silent epidemic by Sherrie Palm
An award winning fantastic book which gives women down to earh plain speaking advice, diagnosis and how to deal with Pelvic organ prolapse.

Pelvic organ prolapse is an extremely common female health issue that ALL WOMEN need to know about. Symptoms of pelvic organ prolapse (POP) can be confused and mistaken for other health conditions. Symptoms of POP are:

pelvic/back/vaginal/rectal pain
Urinary or fecal incontinence
pain with intercourse
chronic constipation
lack of sexual sensation
vaginal/rectal pressure

and many others.

Vaginal childbirth and menopause are the two leading causes of POP. Unfortunately, most women first hear about pelvic organ prolapse AFTER they are diagnosed with POP.

If you suffer from any of the above symptoms, you may be suffering from a cystocele, rectocele, or type of POP and should talk with your physician about pelvic organ prolapse now.

Our goal is to increase awareness and recognition of POP symptoms, causes, and treatments. Pelvic organ prolapse impacts millions of women around the world physically, emotionally, socially, sexually, and financially. We need to increase POP awareness; we need to increase it now.

Pessary guide

Please help support APOPS (Association of Pelvic Organ Prolapse Support) a non profit organisation which is dedicated to supporting women with vital information about pelvic organ prolapse issues.

We provide information about different pelvic organ prolapse issues along with finding suitable pelvic floor specialists who can assist with pelvic floor exercises, pessary adivse and surgical procedure information.

June IS pelvic organ prolapse support month. Please share this information and help stamp out the taboo behind this awful condition.

Visit APOPS in Harrogate United Kingdom November 2013 at BAUN


Download your copy of the ease of use pessary guide to find out which pessary is the right one for you.

Table of Ease of Use of Pessary

Pessaries for Prolapse – The T pessary

Pessaries to treat incontinence and pelvic organ prolapse
There are over 250 pessaries available to treat symptoms of pelvic organ prolapse and incontinence, yet very few patients are told about the availabilities.The ring pessary is the most widely used to treat pelvic organ prolapse issues but is is suitable for everyone?

Over the next few weeks I will be showing you how different types of pessaries can help certain pelvic organ prolapse and incontinence issues.

Pelvic organ prolapse is essentially a ‘hernia’ a decent of an organ into the wall of  another organ in the pelvic area or vagina.  For more information about pelvic organ prolapse please visit www.incostress.com

The T pessary

T pessary for treatment of Cystocele or/and Rectocele

T Pessary type R

The T-Pessary is specifically designed for the treatment of cystocele and rectocele. The cylindrical ergonomic shape supports the bladder into an anatomically correct position.

A cystocele occurs when the bladder drops into the vaginal wall. The vaginal wall over time becomes thin and weakens and can not support the vital organs which leads to the bladder ‘sinking’ into the vagina.

Many women experience the feeling of a ‘bulge’ or a ‘ball’ inside the vagina. Some women find that they have urinary stress incontinence or the inability to empty the bladder completely,  which may be an indication of an early cystocele.

Constipation or unable to completely clean the bottom after wiping can indicate a rectocele.

The T-Pessary is made from body friendly medical grade silicone and can be easily inserted and removed.  The different sizes allow a perfect fitting.

Is surgery necessary?

The best person to speak to, is your doctor. Prepare your questions before you see him so you are sure that all your questions are answered.

Due to the lack of knowledge many women have about their own body and pelvic organ prolapse they wait too long before seeking medical advice. Waiting too long will only make the condition worse and in some cases the only answer is surgery. To avoid getting this far, prevention is the best method. Kegel exercises should be carried out on a regular basis starting in your early 20’s or even in your late teens. Ask your women’s health physiotherapist about how to carry out kegels correctly.

Nobody wants to end up under the knife, and one alternative may be the use of a pessary, it may not be a permanent solution but it may just give you that extra support you need to offer you a better quality of life or even a solution whilst waiting for surgery.

    T pessary for treatment of Cystocele or/and Rectocele

The specially designed surface avoids pressure points in the mucosa. Especially during exercise – such as heavy work or sport – the T-pessary will hold bladder and bowel in the anatomically correct position. Contact us for more information www.incostress.com

How do I know which size is right for me?

Correct size will have to be determined by your doctor or trained physiotherapist who specialises in pelvic organ prolapse.

Note for Medical Staff

Contact C&G Medicare for size sets in any of the range of pessaries – C & G Medicare Ltd UK offer the largest range of pessaries in Europe we also manufacture our own which includes Incostress and the latest P type Pessary which will be available from May 1st.

C&G Medicare Ltd Williams House
11-15 Columbus Walk
off Brigantine Place
CF10 4BY
United Kingdom
Why not come and see us at Naidex 30 April – 2 May 2013 at the NEC Birmingham Stand C165

Recommended reading about pelvic organ prolapse issues

Pelvic Organ Prolapse by Sherrie Palm

pelvic organ prolapse book






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