Please note – There is currently a physiotherapist in Ottawa who has been trained to fit pessaries in Ontario. She has successfully integrated this into her practice by getting delegation from the family doctor or gynecologist to do this act. Nurse Practitioners are also appropriate to take this course in order to fit pessaries with their patients.
This practical course will teach physiotherapists how to prescribe and fit pessaries for pelvic organ prolapse. There is a shortage of pessary prescription in Ontario and this is a delegated act in Ontario for physiotherapists. A sample pessary delegation letter (click here), a full understanding of the risks and benefits of pessary fitting and a strong theoretical component will allow you to be comfortable using pessaries when you go back to your clinic. When working with the patients doctor, physiotherapists are ideally suited to fit and prescribe pessaries to increase your patient’s function during rehabilitation.
This course will benefit physiotherapists who have already worked with patients with POP and will give them another tool to help their patients with their symptoms in conjunction with the other treatments approaches already used in their practice.
To be able to use pessaries appropriately and safely.
Through completion of this course, participants will:
- Understand the physiopathology of POP
- Define the different types of POP
- Understand the symptoms of POP
- Evaluate a patient with POP
- Overview (only) of the different treatment approaches for POP
- Identify indications and contraindications for pessaries
- Be able to determine the type and size of a pessary for a patient
- Know how to insert and retrieve a pessary and use a speculum
- Know the follow-up procedures
- Know the sterilization procedures for temporary pessaries
- Know how to teach a patient how to use a pessary
- Understand the legislation in your province about the use of pessaries by physiotherapists
Frequently Asked Questions
(These questions are answered by Heather Grewar, who is a pelvic health physiotherapist in Ontario that is currently fitting pessaries)
What is the average cost of a pessary?
The average cost of a pessary is $55 from Cooper Surgical.
Where do you purchase pessaries?
We purchase them from Cooper Surgical. The sales representative for Ontario is Jennifer Coady. If you have other questions, you can contact Jennifer directly. She is excellent to work with. (firstname.lastname@example.org).
Does extended health cover the cost?
Extended health covers the pessary fitting appointment but not the pessary itself.
How do you sterilize a pessary?
To sterilize the fitting pessaries, the dentist office closest to our clinic puts them in their autoclave for us. We pay a minimal fee for their supplies (distilled water and plastic sealable bags).
How many pessaries do you fit a month?
We generally fit about 2 pessaries/month. It can be a bit of a time-consuming process given all the extra paperwork, but it’s been so well worth it. The clients we’ve fitted for the most part have been very pleased, and it has really helped their therapeutic experience and outcomes.
This course is open to physiotherapists and registered nurses. Labs include internal palpation.
Two day course. Hours to be determined.
Registration begins on the first day 30 minutes prior to the start time.
Level I and experience treating patients or equivalent to be approved
Internal palpation is required on this course