What is the Gyn&Cube (Gynecube)?

The Gyn&Cube is a cube-type vaginal pessary manufactured by Gyneas (a company specialising in gynaecological devices). According to a product listing it is described as: “cube-type vaginal pessary … made of silicone with orifice evacuation. It has two sizes in one. Stress urinary incontinence during sustained exertion.” MedicalExpo+1
Another listing notes: “The pessaire Gyn&Cube … of pyramid shape … composed of silicone … hypo-allergène, longue durée de vie …” Gyneas
Thus “Gynecube” refers to this particular shape and design of pessary.

Key technical features

Some of the technical or material features:

• Made of medical-grade silicone (latex-free) which is hypo-allergenic. Gyneas+1

• The shape: described as pyramid or “cube-type” (pyramidal or block shape) to facilitate insertion and retention. MedicalExpo

• Comes in multiple sizes: e.g., small (22-30 mm), standard (28-38 mm), large (32-44 mm) according to the manufacturer. Gyneas

• Reinforced cord (in some models) to assist removal. MedicalExpo

• Designed for insertion and removal by the patient (once properly fitted) rather than requiring surgical insertion. MedicalExpo+1

Intended use & indication

The Gyn&Cube is indicated for several conditions involving pelvic organ support or urinary incontinence:

• Moderate or exteriorised vaginal wall prolapse (cystocele, rectocele). MedicalExpo+1

• Stress urinary incontinence (SUI) particularly during exertion. MedicalExpo

• In some cases for support during pelvi-perineology (pelvic floor rehabilitation) settings. Gyneas
  Thus it is used as a non-surgical option either to avoid or delay surgery, or as part of conservative management.

Why such a device is needed: pelvic floor and prolapse basics

What is pelvic organ prolapse, cystocele and rectocele?

To appreciate the role of the Gyn&Cube, one must understand those conditions it aims to treat.

• Pelvic organ prolapse (POP) occurs when one or more pelvic organs (e.g., bladder, uterus, rectum) descend from their normal positions and push into or outside the vaginal canal.

• A cystocele is when the bladder wall pushes into the front (anterior) vaginal wall.

• A rectocele is when the rectum bulges into the back (posterior) vaginal wall.
  These can cause symptoms such as vaginal bulge/pressure, urinary issues (urgency, incontinence), bowel symptoms, sexual dysfunction.

Stress urinary incontinence (SUI)

SUI is the involuntary leakage of urine when intra­abdominal pressure increases (e.g., during coughing, sneezing, exercise). One contributory factor is weakened pelvic floor muscles and connective tissue support. Devices like pessaries may provide mechanical support and reduce leakage.

Conservative management vs. surgical options

Management options for prolapse and SUI range from pelvic floor muscle training, lifestyle changes, pessaries, to surgical repair. Many women prefer non-surgical options initially because they are less invasive, reversible, and avoid anaesthesia. The Gyn&Cube fits into that non-surgical category.

Role of a pessary in pelvic health

A vaginal pessary is a device inserted into the vagina to provide support. It may relieve symptoms, delay surgery, or be used when surgery is contraindicated. The Gyn&Cube represents a particular design of pessary aimed at moderate support needs.

How the Gyn&Cube works

Mechanical support principle

The Gyn&Cube provides support by physically occupying space within the vagina and distributing pressure to hold the vaginal walls and adjacent organs in place. The cube/pyramid shape is intended to stabilise against descent, especially during increased physical exertion or movement.

Insertion and removal process

According to manufacturer instructions:

• Insertion: The recommended position is similar to inserting a tampon — e.g., standing with one foot on a chair or lying on your back with head/shoulders elevated. The device may be lubricated. Press between thumb and index, insert into vagina following its natural incline. Gyneas

• Removal: Do not simply pull on the cord. First break suction by inserting a finger between the pessary and vaginal wall, then compress the pessary and remove slowly with guidance from the cord. Using lubricant may help. Gyneas
  This design allows the individual to manage insertion/removal rather than requiring clinician intervention each time.

Fit and sizing

The Gyn&Cube offers three size ranges (small, standard, large). The standard is said to “fit 80% of patients”. Gyneas Correct sizing is critical for comfort, effectiveness, and avoiding complications. A health care professional will typically assess vaginal dimensions, prolapse grade, and select the appropriate size.

Use case scenarios

Some typical uses:

• Women with moderate cystocele or rectocele who wish to avoid or postpone surgery.

• Women with stress urinary incontinence during physical activity.

• As an adjunct during pelvic floor rehabilitation, giving mechanical support while muscle strength is built.

• In women where surgery is contraindicated (due to comorbidities, frailty, future fertility considerations).

Advantages of the Gyn&Cube

Non‐surgical, reversible option

Because the device is inserted/removed without surgery, risk, cost, and recovery time are lower compared to operative intervention. It allows a conservative trial of support before committing to surgery.

Silicone, latex‐free, hypo‐allergenic

The material choice (medical-grade silicone) reduces the risk of allergic reactions (compared to latex devices). Silicone also is easy to sterilize/autoclave in clinical settings. Gyneas+1

Self‐management capability

Once properly fitted, many patients can manage insertion/removal independently at home, which fosters autonomy and convenience. Manual suggests patient can place it in the morning and remove in the evening. Gyneas

Versatility of size and shape

The pyramid/cube shape is said to make insertion easier and provide robust support. The two‐sizes‐in-one feature (in some models) gives clinical flexibility. MedicalExpo

Low maintenance and longevity

Silicone has good durability and does not absorb odours or secretions (as the manufacturer states). Gyneas This may reduce replacement frequency and associated cost.

Limitations and considerations

Not a universal solution

The Gyn&Cube is appropriate for moderate prolapse or SUI. It is not designed for very severe prolapse (e.g., POP stage III/IV) where surgery may be required. The manufacturer explicitly lists “moderate or exteriorised prolapse” as an intended indication. MedicalExpo+1

Proper fit and monitoring required

If the wrong size is chosen—or if there is poor insertion—the device may cause discomfort, vaginal irritation, discharge, or even ulceration in rare cases. Regular follow-up with a healthcare provider is important.

Hygiene and maintenance

Because the device resides in the vagina, continuous vigilance for infection, discharge, or changes in sensation is necessary. Instructions for cleaning and replacement intervals must be followed.

Contraindications and physician supervision

Pessaries require physician or trained clinician assessment initially (prolapse grade, vaginal health, comorbidities). Some patients (active infection, vaginal erosion, severe atrophy) may not be suitable for pessary use.

Patient learning curve

Although the device is designed for self-management, some patients may find insertion/removal challenging initially. Time and practice may be needed.

Clinical evidence & user experience

Evidence base

Specific peer-reviewed studies of the Gyn&Cube were not located in the publicly accessible sources I checked. The product listings describe its use but not large-scale clinical trial data. Given this, it’s important for clinicians and users to treat the device as part of a broader management plan rather than as a guaranteed cure.

User testimonials

While formal studies may be limited, user feedback (via practitioner experience and clinic reports) suggests that many women appreciate the ability to avoid surgery, the improved comfort, and the convenience of self-managed insertion and removal. The manufacturer notes that the “standard” size fits ~80% of patients. Gyneas

Real-world factors

In practice, success with a pessary like the Gyn&Cube depends on: correct initial fitting, patient comfort and ability to manage the device, absence of complicating vaginal conditions, and adherence to follow-up. Many clinicians use pessaries as part of a “step-up” strategy: start conservatively, monitor progress, and escalate to surgical intervention if needed.

How to choose whether Gyn&Cube is right for you

Step-by-step decision map

1. Symptom assessment: Are you experiencing vaginal bulge, pressure, urinary leakage with exertion, or need support for minor prolapse?

2. Clinical evaluation: See a gynecologist or pelvic floor specialist. They will evaluate prolapse grade (anterior/posterior compartments), pelvic floor muscle strength, comorbidities, vaginal health.

3. Discuss options: Options may include pelvic floor muscle training, lifestyle changes (weight loss, avoid heavy lifting), pessary use, or surgery.

4. Fit trial: If pessary use is appropriate, the clinician selects appropriate size/shape (such as Gyn&Cube) and instructs on insertion/removal hygiene.

5. Follow-up monitoring: Regular check-ups (often every 3-6 months) are needed to monitor for vaginal health, device integrity, fit and symptom improvement.

6. Review outcomes: If symptoms improve and you tolerate the device, continue. If symptoms persist or worsen, consider escalation to other treatments.

Key questions to ask your provider

• Is a cube/pyramid-shaped device (like the Gyn&Cube) appropriate given my prolapse type and severity?

• What size will fit best and what are the fitting criteria?

• How will insertion/removal work for me, and what support/training will I get?

• What is the expected lifespan of the device, maintenance regimen, cleaning method?

• What are the risks of pessary use in my case (e.g., vaginal erosion, discharge, infection)?

• If this device doesn’t work, what are next-step options?

Patient suitability checklist

You may be a good candidate for the Gyn&Cube if:

• You have a mild to moderate prolapse (anterior or posterior) and/or stress urinary incontinence during exertion.

• You prefer a non-surgical, reversible option.

• Your vaginal health condition (e.g., no active infection, adequate lubrication) allows device insertion.

• You are comfortable with self-managing insertion/removal (or willing to learn).

• You commit to follow-up and maintenance.

You may be less suitable if:

• You have very advanced prolapse (stage III/IV) where the pessary may not provide sufficient support.

• You have a vaginal condition (severe atrophy, active ulceration, infection) that complicates device use.

• You are unable to manage insertion/removal or have limited mobility.

• You prefer direct surgical correction and understand the risks/benefits of each.

Practical tips for using the Gyn&Cube effectively

Insertion/removal best practices

• Use a water-based lubricant to ease insertion.

• Assume a comfortable position (e.g., lying down or standing with one foot elevated).

• Press the pessary between thumb and index finger, insert following the vaginal incline.

• When removing: break suction first by inserting a finger between the pessary and vaginal wall; then compress and pull gently. Do not just tug the cord. Gyneas

Cleaning and maintenance

• Clean the device according to manufacturer instructions (often warm water + mild soap); ensure fully dry before reinsertion.

• Regular check of the cord if present for wear/tear.

• Replace device as recommended by your clinician (no fixed universal schedule—depends on wear, fit, condition).

• Monitor for increased discharge, odor change, irritation, pain—stop use and consult provider if these occur.

Comfort and adaptation period

• The first few days/weeks may include slight awareness of the device; correct sizing is key to minimise discomfort.

• Pelvic floor muscle exercises (Kegels, guided physio) should continue even when using the pessary: device supports mechanically, muscles regain strength over time.

• Avoid heavy lifting, high-impact exercise or sudden strain until the fit is confirmed and you are comfortable.

When to see your clinician

• If you experience pain, bleeding, foul-smelling discharge, inability to remove the pessary, or symptoms worsen.

• At scheduled follow-ups (often every 3-6 months) to assess vaginal health, device fit, prolapse progression, and reassess whether surgical options are now indicated.

Cost, reimbursement and availability

Cost aspects

From manufacturer data: the Gyn&Cube (small size 22-30 mm) is listed at about 45.84 € (in France) excluding stock status. Gyneas Prices will vary by country, taxes, import duties, shipping.
There may also be costs for fitting, follow-up appointments, training/insertion guidance.

Reimbursement / insurance

In some markets, vaginal pessaries are reimbursed (e.g., in France “Les pessaires sont désormais remboursés par l’Assurance Maladie.”) Gyneas
You should check with your local health insurance or national healthcare system whether device and fitting are covered, and whether other materials (lubricants, follow-ups) are reimbursed.

Where to obtain

The device is sold via medical supply companies and pharmacies (in the markets where the brand operates). For example the website lists “Disponible en pharmacies.” Gyneas
Fitting should ideally be done via a gynecologist or pelvic floor specialist who is familiar with pessaries.

Comparison with other pessary types

Ring, donut, dish vs cube/pyramid

Other pessary designs include ring pessaries (with/without support), donut/space-filling types, dish shapes. For example, the “Gyn&Ring” (ring-type pessary) is used for mild first-degree prolapse or cystocele. Pharmacie en ligne MonCoinSanté
The cube/pyramid design of Gyn&Cube may provide more stability for moderate prolapse or in situations of exertion/increased intra-abdominal pressure. The shape may resist movement or displacement better.
Therefore, the choice of pessary type depends on the anatomy, severity of prolapse, patient comfort, and clinician experience.

Advantages/Disadvantages of cube-type design

Advantages: Better retention during physical activity or when intra-abdominal pressure increases; self-management; hypo-allergenic silicone.
Disadvantages: May require more time to insert/remove due to bulkier shape; may be less comfortable in narrow vaginal space; may require more careful sizing.
Thus it is important to be fitted by a professional to assess whether the cube/pyramid type is best.

Potential risks and how they are mitigated

Risks associated with pessary use

• Vaginal irritation, ulceration or erosion if device rubs against tissue.

• Increased vaginal discharge or infections (e.g., bacterial vaginosis, aerobic vaginitis).

• Device expulsion or displacement, especially with high-impact exercise or heavy lifting.

• Rarely, inability to remove device by patient (requiring clinician assistance).

Mitigation strategies

• Proper sizing and initial fitting by experienced clinician.

• Adequate lubrication and insertion technique.

• Regular follow-up examinations (every 3-6 months or as advised) to check vaginal tissue health.

• Patient education on insertion/removal hygiene, what symptoms to watch for, and when to stop use.

• If atrophy or thinning of vaginal walls is present (e.g., post-menopausal), appropriate adjunctive therapy (vaginal moisturisers, oestrogen if indicated) may be needed.

When to move to surgical options

Indications that pessary alone may no longer suffice

• Persistent or worsening prolapse despite correct pessary use.

• New onset of complications (e.g., recurrent urinary retention, obstructive symptoms, repeated infections).

• Patient’s preference for permanent correction.

• Anatomical changes (e.g., uterine prolapse requiring uterine suspension or removal) that cannot be managed with a pessary.

Role of pessary as a bridging tool

Using a device like the Gyn&Cube can allow patients to manage symptoms and delay surgery until they are ready (medically, personally, financially). It also gives time to build pelvic floor strength and potentially reduce the required surgical intervention.

Summary and final thoughts

The Gyn&Cube is a silicone, cube/pyramid-shaped vaginal pessary designed for non-surgical management of moderate pelvic organ prolapse (cystocele, rectocele) and stress urinary incontinence in appropriate patients. It offers advantages including user-self-management, hypo-allergenic material, and ease of insertion/removal once trained. It is not a universal solution, however — correct sizing, patient selection, follow-up, and insertion/removal technique are critical for success. When used properly it can prevent or delay surgical intervention and improve quality of life.

As with any medical device, its use should be guided by a qualified gynecologist or pelvic floor specialist. Patients should engage in pelvic floor muscle training and lifestyle adjustments alongside device use. If you are experiencing pelvic floor symptoms (bulge, pressure, urinary leakage) you should consult a clinician who can assess whether a device like the Gyn&Cube might be suitable for you.