Description

The Gelhorn Pessary, also known as the Club or Club Pessary, is a specialized medical device crafted from medical-grade silicone. It is designed to manage advanced stages of pelvic organ prolapse, specifically targeting conditions such as cystocele, rectocele, and hysterocele. This device is particularly beneficial for individuals at stages 3 or 4 of prolapse, where other pessary types may not provide adequate support.

Design and Functionality

• Structural Support: The Gelhorn Pessary provides essential structural support by repositioning pelvic organs to a more anatomically normal position.
• Size Variability: Available in nine sizes, with diameters ranging from 50mm to 90mm, allowing for a tailored fit to the patient’s anatomy.
• Unique Shaft Design: The shaft ensures that the upper part remains functional and correctly positioned.

Usage Guidelines

• Insertion and Removal: It must be removed before sexual intercourse, unlike some other pessary types.
• Self-Management: Encourages self-management through regular removal, cleaning, and reinsertion.
• Professional Fitting: Requires professional fitting and follow-up to ensure comfort and effectiveness.

Intended Benefits

• Prolapse Management: Offers a conservative, low-risk management option for pelvic organ prolapse.
• Urinary Incontinence Support: May improve urinary incontinence by providing support to the urethra.

Additional Information

The Gelhorn Pessary is typically prescribed when other pessary types, such as urethral, bowl, ring, or cube pessaries, are ineffective or increase stress incontinence. Regular follow-up and self-care practices are recommended to maintain its effectiveness and comfort. This device represents a reliable, evidence-based approach to managing pelvic organ prolapse and certain types of urinary incontinence.