Evacare Cube Pessary

It certainly does. In women with stress incontinence, the pessary exerts pressure on the urethra (urine tube) to decrease the escape of urine when coughing or sneezing. In patients with urge incontinence (strong, sudden need to urinate), the pessary realigns the bladder in its normal position, allowing it to empty better. 

A pessary must be removed for a pap smear and prior to a colonoscopy. Some pessaries have a small amount of metal and must be removed prior to an MRI. If you are unsure, please contact your health care provider.

The pessary may push against other pelvic structures and can sometimes cause trouble with urination, difficult with bowl movements, or lower back pain. Report any of these to your health care provider right away, as well as:

• Any increase in urinary incontinence
• Any vaginal pressure or discomfort
• Any vaginal bleeding, burning or itching
• Any vaginal sores
• If the pessary falls out frequently
• If you notice changes in the color, amount, consistency, or odor of vaginal discharge (A creamy discharge is normal.)

The vagina is not sterile so the pessary needs only to be kept clean. Pessaries have a long usage life and can remain in place for 8-12 weeks. A slight discoloration of the pessary is normal. 

If you are menopausal and not on estrogen, you should discuss vaginal estrogen with your provider. It thickens the tissues of the vagina and keeps it healthy which prevents complications related to pessary use.