Also known as the Gellhorn pessary, the club pessary may be used in patients with severe prolapse of vagina and uterus in cases where conventional pessaries do not sustain the pressure and where a cube pessary might increase stress incontinence.
The stem avoids gliding of the upper lying bowl. Before inserting the pessary in severe prolapse, the prolapsed organs have to be reposed.
The content of the hernia should be examined. If other organs are contained in the prolapse, they should be carefully replaced.
The club pessary is measured by the circumference of the bowl’s diameter.
The sizes range from 50 to 90mm in 5mm increments. The club pessary with the smallest diameter that supports the prolapse should be prescribed