PAD Formulary : Surrey Heartlands
PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Vaginal devices for female urinary incontinence - Urinary incontinence Important

Keywords :
Urinary incontinence devices, vaginal device for incontinence, vaginal insert for stress incontinence, intravaginal devices for urinary incontinence, bladder support, pelvic floor dysfunction
Brand Names Include :
Diveen, Efemia, Contiform, Contrelle Activgard
Important Information :
Prescribing in primary care on recommendation from the specialist NHS Pelvic Health Physiotherapy Team only.

Traffic Light Status

Status 1 of 4.

Status :
Blue
Important
Formulations :
  • Vaginal insert
Important Information :
DIVEEN - 3rd line - consider if other devices are unsuitable. Efemia is the preferred device.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :
Type
Document
Review Date
Letter to GP
Intravaginal Continence devices GP letter
01 September 2027
Patient resource
Intravaginal Continence devices PIL
01 September 2027
Webpage
NICE NG210 - Pelvic Floor Dysfunction: Prevention and Non-surgical Management - Dec 2021
Information
Stress Urinary incentinence devices - SBAR - September 2024.pdf

Status 2 of 4.

Status :
Blue
Important Preferred
Formulations :
  • Vaginal insert
Important Information :
EFEMIA - 1st line. Reusable product. Preferred choice for daily or intermittent use
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Status 3 of 4.

Status :
Blue
Important
Formulations :
  • Vaginal insert
Important Information :
CONTIFORM - 2nd line choice for daily or intermittent use.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Status 4 of 4.

Status :
Blue
Important
Formulations :
  • Vaginal insert
Important Information :
CONTRELLE ACTIVGARD - not a preferred device. Single-use and more costly than alternatives.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

No drugs returned.

Other Indications

Additional Documents

No additional documents returned.

Committee Recommendations

Date
Committee Name
Narrative
04 September 2024
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee have agreed a BLUE (on recommendation) traffic light status for a trial (starter pack) and then ongoing prescribing if needed, of an intravaginal device for women with stress urinary incontinence, only if other non-surgical options have been unsuccessful.

Formulary choices were agreed as:

Efemia - 1st line choice for daily or intermittent use and 1st line choice of reusable product

Contiform - 2nd line choice for daily or intermittent use.

Diveen - 3rd line choice if other devices not able to be used i.e. due to insertion / comfort etc.

Contrelle Activgard - 

This is the only single-use product currently available.  This is the most expensive product for daily and intermittent use.  Please reserve for those who specifically require this product.

Associated BNF Codes

22. Incontinence Appliances
22.85.00. Insert For Female Stress Incont
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