non-prescription device may ease urinary incontinence - absorbent pads for spills
Some women with stress incontinence do not want to have surgery and do not want to see a doctor because they can use a vaginal insertion device at home, which may be relieved by symptoms from Impressa, an option on the pharmacy shelf that does not require a doctor.
When the muscles and tissues that support the bladder weaken, millions of women around the world experience urinary stress incontinence.
Simple actions such as coughing, running, or lifting heavy objects can put pressure on the bladder, causing a leak in the urine.
Risk increases with age, obesity and multiple vaginal deliveries.
Surgery to insert a vaginal device (such as a mesh sling) to support the bladder can prevent urinary leakage, but there are some risks with these operations and not all women's options.
Devices inserted into the vagina or urethra can also help, as can certain prescription drugs to a lesser extent.
The liner and disposable underwear can absorb the leak but cannot prevent the leak.
"Since about 80% of patients with stress urinary incontinence do not wish to undergo surgery or are not eligible for surgery, impressa is positioned as a product, filled in the landscape gap between conservative treatment regimen and more invasive surgery for stress urinary incontinence, "said Dr.
Uroziv, a gynecologist who developed the product for his Israeli company and then sold it to KimberlyClark.
Impressa is a disposable device inserted into the vagina designed to prevent leakage by applying pressure to the urethra.
Like some tampon strips, it is inserted with a applicator and there is a rope at the end that can be taken out in various sizes.
It includes a flexible core of a support rod made of resin to prevent movement within the vagina, as well as a porous nylon mesh cover that supports the bladder like a sling.
In some ways, Impressa is a variant of a device that doctors may provide for women called pessaries.
Like pessaries, Impressa is inserted into the vagina to support the bladder.
However, although Impressa is flexible, disposable and designed to be worn for eight hours, traditional pessaries tend to be stiff and worn for a few days or more before they need to be disassembled and cleaned
In past research that won the United StatesS.
On 2013, Ziv and his colleagues conducted marketing approvals for Impressa, testing its safety and effectiveness among 60 women who had previously used tampon without any difficulties.
Ziv said in an email that women who do not use tampon are also unlikely to plug in a vaginal device like Impressa to address incontinence.
The women in this study ranged in age from 18 to 70 years old and had severe stress incontinence, otherwise they might be treated with surgery.
At the beginning of the study, the researchers asked the women to wear absorption pads and then collect them to measure how much leakage occurred.
The women then used the Impressa for 28 days, starting with the smallest size and gradually switching to the larger size until they found the ideal fit.
In the last two weeks of the study, the researchers weighed the pad again to measure the leaking urine volume and compare it with the earlier amount. Eighty-
By the end of the study, 5% of them reduced the weight of the liner by at least 70%, which is a sign of leakage.
They also reported a significant improvement in quality of life.
The study was not intended to show whether Impressa was more effective or less effective than an alternative.
In 2008 papers published in the American Journal of Obstetrics and Gynecology, the authors acknowledged that some patients did not use the device for several consecutive days, limiting the ability of researchers to assess daily use.
Nevertheless, the product may be a viable option for some women who are embarrassed to seek medical treatment due to stress incontinence, Dr.
Priya Padmanabhan is an incontinence specialist at the University of Kansas City hospital in Kansas City.
Padmanabhan, who was not involved in the study, said in an email: "This product is valuable for allowing more women to manage their urinary incontinence in a comfortable home . ".
Padmanabhan works in the Kimberley panel of experts
Clark was before the national launch of Impressa.
Impressa has been launched in the United States. S.
And will be on more store shelves across the country in the coming months.
Impressa is also approved for sale in Canada.