Pessary

A pessary is a medical device inserted into the vagina to support pelvic organs and help manage conditions like pelvic organ prolapse (POP) or urinary incontinence. It’s a non-surgical, conservative option often used when surgery isn’t desired or as a temporary measure.

How it works

• Pessaries are usually made of silicone and come in different shapes and sizes.

• They are placed inside the vagina to hold the bladder, uterus, or rectum in their proper position, relieving pressure and symptoms.

• Some designs also help reduce stress urinary incontinence by supporting the urethra.
  
  

Types

• Ring pessary – commonly used for mild prolapse

• Gellhorn pessary – used for more advanced prolapse

• Cube pessary – can help with more severe prolapse and urinary leakage
  
  

Who uses them

• People with uterine prolapse, cystocele (bladder prolapse), or rectocele (rectal prolapse)

• Women who want to avoid surgery or need a temporary solution before surgery

• Individuals with stress urinary incontinence
  
  

Insertion and care

• Typically inserted by a healthcare provider initially, who ensures proper fit

• Some people can remove and clean certain pessaries at home; others may require periodic office visits

• Must be cleaned regularly to prevent infection and irritation
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Benefits

• Non-surgical, low-risk option

• Can relieve discomfort, pressure, and urinary symptoms

• Reversible and adjustable as needed