How to Know When to Refer a Client for a Pessary- for Physiotherapists
I get a ton of great referrals from fellow physiotherapists who don’t fit pessaries themselves. Most of the time they are appropriate referrals, but every once in a while, the…
Sex and POP
My clients often have many questions regarding sex and pelvic organ prolapse (POP). “Can my partner feel my prolapse? Will sex make my prolapse worse? Is sex painful with a…
Stress Urinary Incontinence
What is it? Stress urinary incontinence (SUI) is defined as urinary leakage that occurs with sudden pressure on the urethra/bladder from movement or activity such as coughing, laughing, sneezing, standing…
Cube – Insertion and Removal Instructions
So you just got your pessary- congrats! Your physiotherapist explained how to insert and remove it and you practiced a few times with her in the clinic, but you can’t…
Incontinence Ring – Insertion and Removal Instructions
So you just got your pessary- congrats! Your physiotherapist explained how to insert and remove it and you practiced a few times with her in the clinic, but you can’t…
What is “The Knack”?
The knack refers to the timing of a kegel or pelvic floor muscle contraction. Not only is it important to have strong pelvic floor muscles (PFMs), but also good control,…
The Pelvic Floor- What is it?
The pelvic floor is a group of muscles and soft tissue that make up the bottom of the pelvis. They run from the pubic bone in the front to the…
Which Pessary is Right for Me?
Pessary fitting must be completed by an appropriately trained health care professional (specially trained doctors, nurses or physiotherapists). The health care professional will do an internal exam to get an…
Using Accommodators Prior to Pessary Use
Purpose Accommodators are sometimes used to help “stretch” vaginal tissue in order that the insertion/removal of a pessary becomes more tolerable. Common Conditions Accommodators are useful in situations where the…
Pelvic Organ Prolapse
What is it? Pelvic organ prolapse (POP) is when any of the pelvic organs- the bladder, urethra, uterus, vagina, rectum, or small intestine- sit lower than normal due to tissue…