Tips & Tricks

for Insertion and Removal of Uresta

Let’s be honest.

It can be a bit scary or at least intimidating to insert something inside of one’s body. Allow us to confidently assure you that the challenges of a little learning curve and trial and error around using Uresta pale in comparison to being able to do the activities you love with confidence and without bladder leaks.

Here are some tips and tricks to help you gain confidence!

Going in

Anatomy: Remember that the vaginal canal is shaped like a funnel, not a tube. There is a narrow span of a few inches before the space widens. You will insert Uresta past the narrow part.
Relaxation: The narrow part of the vagina is made of several muscle layers. It’s important to try to relax these muscles for easier insertion. Take some deep breaths filling your belly with air, practice relaxing your face, your feet, and all the muscles in between. Gently push OUT with your pelvic muscles (like you do for a bowel movement) as Uresta is going IN. This will also help to relax your muscles and open your vagina.
Lubricant: You can coat the top surface of Uresta with some water-based lubricant to make insertion easier on your tissues.
Position:
1. Standing: Try standing with one foot on the side of the tub. Be sure you are able to lean against a wall if balance is an issue.
2. Sitting: The toilet is a great place to insert while sitting. Try leaning forward a bit to relax your muscles. For others leaning back or to one side may be helpful. Or you might try putting one foot on a step stool for better access.
3. Lying down: For many users lying down on their backs or even their sides will create the best relaxation for insertion.
4. Note: Use one hand to gently open your labia to prepare for insertion. Grasp the handle with your dominant thumb and first finger for initial insertion, as Uresta is moving into the vagina, push it higher into place with your first finger. It is in a good place when it feels comfortable. You want the wide part of Uresta to sit in the wider part of the vagina, while the handle may be felt with your finger in the narrow part of the vagina. The handle should be inside your body however.
Angle: The vagina naturally leans backward, so upon insertion of Uresta imagine pointing the tip toward your spine or inserting at a 45-degree angle.
As Uresta enters the vagina the tip will help to open the vagina. It is normal to feel some pressure and resistance as you push the widest part of the Uresta in and below the pubic bone. This pressure will stop as the Uresta moves into place under the bladder in your vagina.
If it is bothersome, it may be placed incorrectly (try pushing it higher up – make sure it is past the pubic bone) or you may need a different (likely smaller) size. Once in place Uresta should be about 2cm or ¾ of an inch deep into the vagina. A good test is to insert a finger into the vagina until you touch the bottom of the handle, if properly in place the opening of your vagina should be at your first knuckle.
When Uresta is correctly in place, you should not feel it!

Wearing Uresta

Some users find it more challenging to empty their bowels with Uresta in place. You may need to remove it for a bowel movement, or wait to place it until after using the bathroom. If you are able to comfortably eliminate while wearing Uresta, you may find you need a quick readjustment of the device after a bowel movement.
Some users also notice that they need a smaller size for support during the day and then a larger size for higher intensity exercise like running or exercise classes.
Some women also experience fluctuations in symptoms due to hormone changes with their menstrual cycle. If you notice your normal size is not supporting you well, you might try a larger size for a few days.

Removal

It is common for Uresta to migrate a bit higher in the vaginal canal as the day goes on. The handle may be difficult to grasp at first. Find a position that is best for you sitting, standing or lying down. Here are some positions that maybe helpful for extraction:
- Sit on a toilet and bear down as if trying to have a bowel movement.
- Sit on a toilet and try leaning forward to relax your muscles. Some women find leaning to one side may be helpful or putting one foot on a chair to gain access to Uresta.
- Stand up with one foot on a chair or toilet.
- Lie down on your back or on your side. This may help relax the pelvic muscles and gain access to Uresta.
- Get into a deep squat in plie position.
Gently bear down like you are having a bowel movement. This will both relax your pelvic muscles and bring the handle of Uresta closer to the vaginal opening.
Uresta creates a bit of a natural suction in the vagina once in place, prior to removing Uresta it is helpful to grip the handle with your finger and thumb, and then twist the handle or move it side-to-side to “break the seal” before pulling the Uresta down and out of the vagina.
Check in with your body and make sure your muscles are relaxed and you are breathing through your abdomen.
Bear down to support the removal of Uresta, easing it past the narrower vaginal opening.
CONGRATULATIONS! YOU DID IT!
Wash your hands and Uresta with soap and water

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Tips & Tricks

Let’s be honest.

Going in

Wearing Uresta

Removal

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