Frequently asked questions about urinary incontinence and the uresta® pessary by Health Professionals

  1. What are the contraindications for the uresta® pessary?
  2. How to fit and remove the uresta® pessary.
  3. Will my patient be able to urinate or have a bowel movement with the uresta® pessary in place?
  4. Why does the uresta® pessary need to be removed daily?
  5. What about risk of infection?
  6. Can it cause Toxic Shock Syndrome (TSS)?
  7. How should I advise my patient if she is unable to remove the uresta® pessary?
  8. Will the uresta® pessary hurt?  Will my patient feel it once it is in place?
  9. How often will my patient need to replace the uresta® pessary ?
  10. What is recommended if the uresta® pessary is not helping my patient?
  11. Will the uresta® product be covered under my patient's health plan?
  12. Where can my patient purchase the uresta® pessary?
  13. Does the uresta® product require a prescription?
  14. What if my patient doesn't have a uterus?
  15. Can the older woman use this product?
  16. Will this help a patient’s overactive bladder (urge incontinence) too?
  17. What is it made of?
  18. Would this product be appropriate for someone with MS or Diabetes given they suffer SUI?
  19. How much does the uresta® pessary cost?
  20. Why should women not wear the uresta® pessary during menstruation?
  21. Would this product be appropriate for someone with prolapse?

 

  1. What are the contraindications for the uresta® pessary?
      Please see the Contraindications section.
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  2. How to fit and remove the uresta® pessary.
    Please read the ‘How to help your patient with fitting’ document.
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  3. Will my patient be able to urinate or have a bowel movement with the uresta® pessary in place?
    The uresta® pessary should not interfere with urinating or having a bowel movement if it is properly fitted. Advise your patient to remove the uresta® pessary if she cannot void or have a bowel movement. She may have to use a different size.
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  4. Why does the uresta® pessary need to be removed daily?
    The uresta® pessary should be taken out every day for cleaning. It should be washed with non-perfumed soap and warm water. This general care will avoid build-up of discharge and promote good pelvic health.
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  5. What about risk of infection?
    Infection is very unlikely with proper cleaning and care of the uresta® pessary. Advise your patient to remove the uresta® pessary and see you if she experiences an unusual discharge that is greenish in colour, extremely foul-smelling, watery and fishy-smelling.
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  6. Can it cause Toxic Shock Syndrome (TSS)?
    There has been no association between the uresta® pessary and TSS. The uresta® pessary is made of a non-absorbable medical grade rubber.
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  7. How should I advise my patient if she is unable to remove the uresta® pessary?
    If your patient is having difficulty removing the uresta® pessary, advise her not to panic and to take a deep breath to relax her muscles. Suggest she try bearing down as if she were trying to move her bowels. This should move it down to a point where she can grasp the handle and remove it. She may need to bear down several times. She should keep her fingers on the handle when relaxing between efforts to bear down. She can also try inserting a finger beside the uresta® pessary or rocking it back and forth to break the suction.  Then, grasp the handle and pull downwards to remove it.  Advise your patient that she will not harm herself if she cannot remove the uresta® pessary.  It can be removed by you or any healthcare professional.
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  8. Will the uresta® pessary hurt?  Will my patient feel it once it is in place?
    Your patient should not feel the uresta® pessary inside her body if it is properly fitted. It should be removed it if it hurts or causes discomfort. The size may need to be changed.
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  9. How often will my patient need to replace the uresta® pessary?
    If it is cared for properly, the uresta® pessary should last 1 year.  Advise your patient to have a pelvic examination at the time of replacement. Replace the pessary sooner if any cracks or defects are found in it. 
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  10. What is recommended if the uresta® pessary is not helping my patient?
    If the uresta® pessary was previously working to stop unwanted urine loss but no longer seems to be doing so, advise your patient to check its positioning. It may have moved down and out of position with a bowel movement.  A change in size may be needed. Advise your patient that she may need to come in to be checked for a bladder infection if she is experiencing a burning sensation when she urinates and / or if she has to go to the bathroom more frequently than usual.
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  11. Will the uresta® product be covered under my patient's health plan?
    Many of the major insurers (Blue Cross, Great West Life, ManuLife, and SunLife) have agreed to cover the uresta® pessary. Advise your patient to check her group benefits package, or talk to her plan administrator to see if the uresta® pessary is covered under the medical device or incontinence section of her plan. If she purchased online, she will have to submit proof of purchase.
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  12. Where can my patient purchase the uresta® pessary?
    It is available online to all Canadians and over the counter at pharmacies. It may also be available through your physician or your local Women's Health Care Clinic. We encourage women to ask their local Pharmacist to order the uresta® continence care kit for them.
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  13. Does the uresta® product require a prescription?
    No, it does not require a prescription. The uresta® continence care kit is the first and only solution that a woman can fit herself if she wishes to do so.
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  14. What if my patient doesn’t have a uterus?
    The uresta® bladder support fits in the vagina under the bladder regardless of whether your patient has a uterus or not.
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  15. Can the older woman use this product?
    Any age group can use this product. Older women are more likely to have urge incontinence or overactive bladder symptoms which will not be helped by a pessary. The older woman may also have thin vaginal tissues which require local application of estrogen before the uresta® pessary can be used.
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  16. Will this help a patient's overactive bladder (urge incontinence) too?
    No. Urge incontinence (also known as overactive bladder) is caused by bladder contractions (detrusor instability). It is treated with bladder re-training, elimination of caffeine and standard anticholinergic medications.
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  17. What is it made of?
    It is made from medical-grade non-latex rubber. It has been extensively tested for biocompatibility.
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  18. Would this product be appropriate for someone with MS or Diabetes given they suffer SUI? This product can help anyone with stress urinary incontinence. Someone with MS may also have urge incontinence from an unstable bladder. The uresta® pessary is not designed to treat urge incontinence.
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  19. How much does the uresta® pessary cost? The suggested retail price is in the range of $200, prices could vary by pharmacy. It can also be purchased on this uresta® website (www.uresta.ca/store) for a cost of $249 which includes shipping and handling charges.
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  20. Why should women not wear the uresta® pessary during menstruation? Inserting and removing a pessary during menses would be messy and perhaps distasteful to some women. The pessary may also discolour and become rather unappealing. The uresta® pessary does not have drainage holes in it to allow for menstrual flow. It should be removed every few hours so that menstrual blood doesn’t build up and act as a potential focus for infection. Tampons work much like our pessary works and provide support to the urethra and prevent urine leakage. So, during menses women with SUI may find that they do not leak with the tampon in place. This is one of the reasons why our product was designed like a tampon in shape. When wearing a tampon all the time (outside of menses) there is a risk of infection with an absorbable product.
  21. Would this product be appropriate for someone with prolapse? No, the uresta® pessary is not designed to treat pelvic organs that have prolapsed or descended out of their normal position (e.g. rectocele, cystocele, enterocele, uterine prolapse).
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