Pelvic organ prolapse and stress urinary incontinence are common conditions plaguing women. For some, surgery can help repair the pelvic wall, but in others, where surgery is not an attractive choice or a health risk, vaginal pessaries can be an effective device to manage this condition. These can be offered to patients regardless of their health conditions. A pessary for uterine prolapse is but one of the many conditions where these devices are used.
Pessaries are used for a number of conditions including: stress urinary incontinence, vaginal vault prolapse, cystocele, enterocele, rectocele, and for preoperative preparation. The only contraindication to pessary use would be for patients who have local infection, latex sensitivity, noncompliant to follow-up, and sexually active women who are unable to remove or reinsert the pessary. A pessary for uterine prolapse or other conditions come in many shapes and sizes but are classified into two categories—support and space-filling.
The support pessary is mostly used to treat all stages of pelvic organ prolapse and stress urinary incontinence. Space-filling types are mostly used for severe pelvic organ prolapse.