Understanding Poise Impressa for Stress Urinary Incontinence
Stress Urinary Incontinence (SUI) is a common condition affecting millions of women, with prevalence rates estimated to be between 4% and 35% [1.6.1]. It's characterized by involuntary urine leakage during physical activities like coughing, sneezing, laughing, or exercising [1.4.3]. Poise Impressa Bladder Supports are an over-the-counter (OTC) product designed specifically to manage SUI. They are the first internal, non-surgical device of their kind cleared by the FDA for temporary SUI management [1.3.7].
Unlike pads that absorb leakage, Impressa is a non-absorbent device inserted into the vagina, much like a tampon [1.4.1]. Its purpose is to provide preventative support. The device's core, made of medical-grade silicone, is designed to gently lift and support the urethra [1.4.4, 1.4.1]. This added support helps prevent the urethra from opening unexpectedly under physical stress, thus stopping leaks before they happen [1.4.5]. The device is disposable and must be discarded after a single use [1.2.4].
Recommended Wear Time and Usage Guidelines
The most critical question for users is, how long can you wear a Poise Impressa? According to the manufacturer and multiple health product retailers, a single Poise Impressa bladder support can be worn for a maximum of 12 hours within a 24-hour period [1.2.1, 1.2.2, 1.3.7]. This 12-hour limit applies whether you wear it during the day or at night [1.2.3]. It is crucial to remove and dispose of the support after 12 hours of use [1.2.4].
Key Usage Rules:
- Do not exceed 12 hours of wear in a 24-hour window [1.3.1].
- Use each support only once; they are not reusable [1.3.1].
- Do not use during your menstrual period or in conjunction with a tampon [1.3.1].
- Remove the support before sexual intercourse [1.3.1].
- You can urinate and have bowel movements while the support is in place, as it does not block the urethra [1.3.7].
Finding Your Correct Size
Proper sizing is essential for both comfort and effectiveness. Poise Impressa sizes are not based on your weight, height, or the amount you leak [1.5.2]. Instead, the size corresponds to your unique internal shape and the level of support your urethra needs [1.5.2].
The company offers a Sizing Kit containing all three sizes [1.5.1]. The process for finding your fit is as follows:
- Start with Size 1: Insert it as you would a tampon. If it feels comfortable and you experience little to no leakage, this is your size [1.5.3, 1.5.4].
- Move to Size 2: If Size 1 is comfortable but you still experience leaks, try Size 2 [1.2.5].
- Try Size 3: If you still have leaks with Size 2, move up to Size 3. Size 3 provides the highest level of support [1.5.4].
Size 1 has a base width of 1.5 inches, while Sizes 2 and 3 both have a base width of 2.0 inches; Size 3 provides more robust support than Size 2 [1.5.2]. It is normal to feel slight pressure, but the device should not be painful. If discomfort continues after a 14-day trial period, you should stop using the product and consult a doctor [1.3.3]. A water-based lubricant can be applied to the applicator tip for easier insertion if needed [1.2.3].
Comparison of SUI Management Options
| Product Type | Mechanism of Action | Wear Time / Usage | Pros | Cons |
|---|---|---|---|---|
| Poise Impressa | Internal support for the urethra [1.4.1] | Up to 12 hours, disposable [1.2.1] | Prevents leaks, discreet, can be worn during activities like swimming [1.2.4] | Requires sizing, not for periods, potential for discomfort [1.3.3] |
| Incontinence Pads | External absorption of leaks [1.2.6] | Change as needed, up to 12 hours [1.2.6] | Easy to use, no insertion needed | Can be bulky, only absorbs leaks after they happen, risk of skin irritation [1.2.6] |
| Prescription Pessary | Reusable internal support for pelvic organs [1.4.7] | Varies; daily or long-term wear | Reusable, can address prolapse | Requires fitting by a healthcare professional, needs regular cleaning [1.4.7] |
| Pelvic Floor Exercises | Strengthens pelvic floor muscles | Daily exercises | Addresses root cause, non-invasive | Requires consistency, may take time to see results, may not be enough for all cases [1.6.3] |
Safety and Important Considerations
While Impressa is FDA-cleared and generally safe, there are important warnings to be aware of. You should not use Impressa if you are under 21, have had recent pelvic surgery, or are pregnant. It is designed only for SUI, not for urge incontinence (a sudden, intense urge to urinate) or mixed incontinence [1.2.7, 1.4.9].
Some users may experience temporary discomfort, vaginal dryness, or spotting, especially during the initial adjustment period. If pain, discomfort, or bleeding persists after the first 14 days, it is recommended to discontinue use and consult a healthcare provider [1.3.3]. Always check with your doctor before starting to use Impressa, especially if you have a condition like pelvic organ prolapse, to ensure it is the right choice for you [1.2.7].
Conclusion
Poise Impressa offers a discreet and proactive way for women to manage Stress Urinary Incontinence. The key to safe and effective use is adhering to the 12-hour maximum wear time within a 24-hour period and ensuring you have found the correct size for your body [1.2.1]. By following the manufacturer's guidelines and consulting with a healthcare provider if you have underlying health concerns, Impressa can be a valuable tool for regaining confidence and living an active life without the worry of bladder leaks.
