Pessary fitting set
The pessary fitting set is designed for the
healthcare professional to determine the
proper size and type of pessary for the patient
Fitting usually requires a trial of various sizes
to determine the proper pessary size. The
pessary fitting set is a valuable aid in selecting
the correct pessary. A vaginal lubricant may
be required for the patients comfort before the
insertion of the pessary.
1. Perform a normal pelvic examination prior
to the fitting and introduction of a pessary. A
pelvic exam helps determine the appropriate
size. The pessary will easily fold across the
largest drainage holes to simplify insertion
and removal. The pessary should be large
enough for its indication, yet not cause any
undue pressure or discomfort.
2. Compress the pessary and gently insert
the pessary through the introitus. Once the pessary has passed through the introitus,
release the compressed pessary so that it
expands to its normal shape. This will insure
the patients comfort and reduce the risk of
3. Gently move the pessary to the cervix to
support the cystocele or rectocele and the
uterus. When in the correct position, the
healthcare professional should be able to
insert an examining finger between the outer
edge of the pessary and the vaginal wall. This
spacing will insure the patients comfort and
reduce the risk of pressure necrosis.
4. Once in place, the pessary should not
dislodge when standing, sitting, squatting or bearing down. It should not be uncomfortable
for the patient during any of these routine
5. When fitting a pessary, be sure to instruct
the patient on its cleaning, insertion and
removal. The patient should perform these
tasks before the first follow-up visit.
6. To remove the pessary, carefully move the
pessary forward towards the introitus. When
the pessary is within reach, compress the
pessary and withdraw gently with caution.
The healthcare professional should determine
if the patient requires oestrogen therapy
before prescribing a pessary.
See first page for disinfection/sterilisation
Each pessary should be periodically checked
for deep cracks or scratches that could
make adequate cleaning and disinfection or
A pessary with any deep cracks or scratches
should be discarded and replaced immediately.
The pessary fitting set is validated for at least
150 cleaning and sterilizing cycles.
Prepare the pessaries for reutilisation
according to the following
Submerge in enzymatic cleaner for
approx. 20 minutes.
a. Chemical desinfection
Use the desinfectant according to the
manufacturer‘s instructions. OR
b. Thermal desinfection
A0 = 3000 (5 min. at 90 C)
The minimum values A0 for thermal
desinfection are specified in the
standard norm SN EN ISO 15883. OR
Sterilise the pessaries in an autoclave
(Pre-Vacuum or Gravity Steam)
according to the following instructions :
Exposure temperature 134° C
Exposure time > 18 Min
*in accordance with DIN EN ISO 17664
Sterilisation of medical devices