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What is a Pessary?

Pessary is a ring-shaped device that is placed inside the vagina or the rectum to provide support to certain organs that have slipped down from their normal position in the body. These devices are useful for the non-surgical treatment of several gynecological problems. Conditions for which pessary rings are used include prolapsed uterus, vaginal vault prolapse, bladder prolapse, retroverted uterus, stress urinary incontinence and management of pelvic support defects such as cystocele and rectocele. At HPFY, we offer a wide range of pessaries from top manufacturers like Medline, Personal Med, Bioteque, etc.

Benefits and side effects of using a Pessary?

Most women find they can successfully use a pessary for two years or more without requiring surgery for their condition.
Pessary use often causes mild side effects, such as vaginal pain, foul-smelling discharge, and urinary tract infections. Since the pessary is removable, however, any side effects encountered can be quickly reversed.
 

How to insert a Pessary Device?

What are the different types of Pessaries?

Pessaries are available in different forms. The right one to select depends on the medical condition being treated.

Ring Pessary

Ring pessaries are available with support and without support. They are commonly used because they easily fit most women. Pessary ring comes in many sizes, most commonly used sizes in pessary rings are 3 to 5 inches. Ring pessaries are available in four types:

Donut Pessary

Donut pessary is a space-filling device and is large and thick making pessary insertion and removal difficult. It is used in the treatment of mild-to-moderate uterine prolapse and in patients with rectoceles and enteroceles. Most commonly used sizes are 2.5 to 3 inches.

Gellhorn Pessary

This type is used commonly as a space-filling pessary and comes with a knob which easily folds over for insertion. Once the pessary is in place, the knob rests on the posterior vaginal wall. Gellhorn pessary is used in the treatment of third degree uterine prolapse, severe uterine or vaginal prolapse. Useful for women with more advanced prolapse and less perineal support. Also treats large prolapse of the anterior vaginal wall and patients with a larger cystocele, rectoceles and enteroceles. A Gellhorn pessary with knob is easy to insert, remove and care for.

Gehrung Pessary

Gehrung pessary is a rarely used pessary because it is difficult to insert and remove. It has an arch design with a malleable rim with wires in the arms. It is used to support cystoceles, rectoceles as well as for second-to-third degree uterine prolapse.

Cube Pessary

A cube pessary manages third-degree uterine prolapse. It is useful in patients with a larger cystocele, with rectoceles and enteroceles. It can also be used by women with urinary incontinence before strenuous activities such as tennis, aerobics or jogging. A cube pessary must be removed and cleaned daily because it has no drainage option.

Inflatable Pessary

This is a space-filling pessary and must be removed daily for cleaning. It is used in the treatment of mild-to-moderate uterine prolapse and in patients with rectoceles and enteroceles. Made of silicone, these pessaries are inflated after being placed into the vagina. Available in small, medium, large and XL sizes.

Incontinence Pessaries

Used particularly for stress urinary incontinence, pessaries for incontinence are available in two types – incontinence dish and incontinence ring. They are not as easy to insert or remove as a ring pessary is. Most commonly used size in ring pessary for bladder incontinence is 2 to 7 inches while in incontinence dish it is 3 to 5 inches.

How to choose the right Pessary?

No pessary is the best or worst. Selection of a pessary will depend on your medical condition and which product is most effective for that particular condition. For example:

We carry high grade quality pessaries from top brands designed to offer an effective medical solution for prolapsed bladder and more.

How to Care for the Vaginal Pessary?

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Articles

Vaginal Pessary for Pelvic Support

Swati Chadha Apr 02,2018

A vaginal pessary is a removable device, made of rubber or silicone. It is worn inside the vagina to support the uterus, vagina, bladder and rectum. Worn inside the vagina, it supports the uterus, vagina, rectum and bladder. Pessaries are

FAQ's

Frequently asked questions

A pessary is a plastic device created to fit into the vagina to support the vagina, uterus, bladder or rectum. It is a firm ring which is pressed against the vaginal wall and urethra.

A pessary is most commonly used to treat prolapse of the uterus, stress urinary incontinence, a retroverted uterus, cystocele and rectocele.

Pessary should be removed 2-3 times in a week if you can do it yourself. Some recommend daily cleaning of the pessary. If you are uncomfortable doing it on your own then you may visit the doctor’s clinic once every 6-8 weeks to have it checked and cleaned.

The pessary should be washed well with mild soap and water. If it falls into the commode during a bowel movement, first clean it with soap and water then soak it in rubbing alcohol for around 15-20 minutes. Take it out and then keep it in water for another 20 minutes before washing it with soap and water and re-inserting it.

Pessaries are considered safe for longer treatment of prolapse. But they need to be changed every three to six months.

  • Wash and clean hands 
  • The notches inside the open ring as well as the opening in ring with support are flexible points. Hold the device between these points and half fold the pessary. The part curved should face the ceiling. Put a small amount of water soluble lubricants over the insertion edge
  • Hold the folded pessary in one hand and spread the vagina lips with another hand
  • Gently push pessary into vagina

  • Wash hands
  • Find pessary rim just below the pubic bone in the frontal area of the vagina. Locate opening and hook finger over rim
  • Tilt pessary slightly to about 30 degrees and gently put it out of the vagina. If the pessary can be folded then it can be removed with ease