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Pessaries

From the Pelvic Floor Articles List

Pessaries for vaginal prolapseWhat is a pessary?

A pessary is a plastic device that is inserted into the vagina to help support a prolapsed uterus or to treat stress urinary incontinence, rectocele, or cystocele. Pessaries come in a variety of shapes and sizes. Some resemble the outer ring of a diaphragm, or a cone, or a donut. A pessary must be fitted by a doctor or qualified nurse, like a diaphragm, and removed once every couple of months for cleaning and reinsertion.

Many gynecologists will try a pessary first to treat a prolapsed uterus, rectocele, or cystocele. If it is not effective, surgery will likely be necessary. Pessaries may be ineffective for a variety of reasons. Some women find them to be painful or uncomfortable. There may not be a size available that is “just right.” Rectoceles or cystoceles may be too severe and force the pessary out. Younger women who are still menstruating may find monthly cleaning and reinsertion to be impractical. Not all pessaries can be worn during intercourse, and those that can should be cleaned afterwards to prevent infection. Despite these drawbacks, however, a pessary may be the best alternative to surgery for many women. Some insurance companies even require trying a pessary before they will approve corrective surgery.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-06-2011 - 04:19 AM


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