Pessary Ring for Prolapse

Vaginal prolapse occurs when the elasticity of the walls of the vagina weakens. The uterus may fall into the vagina and even protrude from the vaginal opening. Symptoms include an ache in the pelvis or vaginal discomfort.

Sometimes prolapse can occur without any symptoms. Surgery may be necessary to correct the condition, however when surgery is not appropriate due to illness or other conditions, or is not the preference of the patient, vaginal pessaries can be used to treat vaginal prolapse.

What Pessary Ring for Vaginal Prolapse?

When choosing a pessary ring for prolapse, a thick or thin ring pessary is suggested. However, a shelf pessary may be necessary if the vaginal opening is enlarged, as a ring may slip out. If you have vaginal prolapse, your gynecologist may fit you for a vaginal pessary. For hygienic purposes, your pessary ring for prolapse should be replaced every three to four months. A pessary ring can be inserted by the patient, with no doctor's visit necessary.

 

Vaginal pessary for prolapse

Vaginal pessary for prolapse - Fact Sheets

Vaginal prolapse is a common condition where the bladder, bowel or womb discend into the vagina.

Symptoms include:
  • the sensation of a vaginal lump
  • constipation
  • difficulty emptying the bowel or bladder
  • problems with sexual intercourse.
 
Treatment is recommended when you are experiencing symptoms. There are a number of ways that vaginal prolapse can be treated. This fact sheet is about using a vaginal pessary. This treatment will not be suitable for all women.

What is a vaginal pessary?

A vaginal pessary is a device which supports the vagina. It needs to be changed every three to six months. Vaginal pessaries have been proven to be as succesful as surgery in relieving prolapse symptoms. You and your doctor will discuss the most suitable option for you.

How does a pessary work?

The pessary sits high inside the vagina. When it is in the correct position you should not be able to feel it. After the pessary has been inserted you can resume all of your normal day to day activity, including sexual activity. In fact the pessary should improve your ability to be active as it supports the prolapse and should make you feel more comfortable.

If you feel the pessary is not working well, it can easily be removed. The pessaries are made from long lasting plastic and you do not need to change them yourself, however many women feel comfortable doing so.

How is the pessary inserted?

The pessary is easy to insert. It is inserted through your vagina.

Your doctor can insert the pessary at your visit to the outpatient department. No anaesthetic is required.

Sometimes a number of sizes need to be tried to find the right size for you. The wrong size may fall out. If this happens you can dispose of the pessary and contact the hospital for an another appointment.

 
Vaginal pessary for prolapse diagram
 

Are there any risks?

Very rarely the pessary causes pressure areas in the vagina. It is important that you see your doctor every six months to have the pessary changed and to check the vagina. Please tell your doctor if you notice any unusual bleeding.

There is no risk of the pessary being lost inside the vagina.

Do I need to do anything with the pessary?

Your doctor may ask you to use some oestrogen cream in the vagina. This will keep the vagina healthy while the pessary is in place.

You will need to see your doctor every 4 to 6 months to have the pessary changed.

Your doctor wil be happy to answer any questions you have and can give you more specific advice.