A pessary is a medical device that is inserted into the vagina to provide support and manage various gynecological conditions. It is commonly used to treat pelvic organ prolapse, a condition where pelvic organs (such as the bladder, uterus, or rectum) drop from their normal position and press against the vaginal walls. Pessaries can also be used to manage stress urinary incontinence or to support the uterus during pregnancy in certain cases.
Pessaries come in various shapes and sizes, depending on their purpose and the patient’s anatomy. Common types include:
Ring pessary: A circular device often used for mild to moderate prolapse.
Gellhorn pessary: A more rigid device with a flat base, used for severe prolapse.
Donut pessary: A round, doughnut-shaped device that provides support for moderate to severe prolapse.
Cube pessary: A cube-shaped device with suction cups, used for severe prolapse.
Incontinence pessary: Designed to support the urethra and reduce urine leakage.
The pessary is fitted by a healthcare provider and sits in the vagina to hold the prolapsed organs in place or provide structural support. It can be made of silicone, rubber, or plastic, and is typically removable and reusable.
Regular cleaning and follow-up appointments are necessary to prevent complications like irritation, infection, or ulceration.
Some pessaries can be removed and reinserted by the patient, while others require a healthcare provider for management.
Women with pelvic organ prolapse who prefer a non-surgical option.
Women who are not candidates for surgery due to health reasons.
Pregnant women with cervical incompetence (to support the uterus).
Women with stress urinary incontinence.
If you think a pessary might be right for you, consult a gynecologist or healthcare provider for a proper evaluation and fitting.
