The tandem pessary is made of two cubes of flexible silicone fixed to each other. It can be stored at temperature from 0 to 50 °C protected from UV radiation without contact to reactive media, gas, ozone or mineral oil.
Patients with genital prolapse (grade 3-4) and/or specific anatomical conditions are treated with the tandem pessary, mainly when single cube pessaries is not satisfying. Similar to the cube pessary, the vacuum effect is essential. The non-perforated version is stronger to hold the prolapse but is more difficult to handle. The perforated version is easier to handle and allows some drainage of discharge with relatively less adhesion. The tandem pessary can be useful in case of stress incontinence whereby the lower cube functions to support the urethra.
The maximal uninterrupted period of application is 30 days(Class IIa). It is strongly recommended that the patient removes the devices every evening herself and insert it in the morning. The patient should be trained in self-management by healthcare professionals.
The product must not be used by other patients. Tandem pessaries must be inserted with thread towards the intruitus. The pessary is cleaned by running water without using any disinfectant.
Application, monitoring and removal
The instructions are revised according to published studies and post-clinical follow-up.
The most recent version is located in Downloads / Instructions.
A comparison of this device in relation to the indication of all our devices can be found in this overview table
For healthcare providers:
A detailed updated clinical evaluation can be found under Downloads / Clinical Evaluation.
The pre-defined combinations of cube sizes (0-5) used for the tandem pessary are found in Downloads / Product overview.
Thereby it should be indicated by the healthcare provider which cube carries the thread: This is always the lower cube.