Advanced Gynaecological Surgery Centre
 
Treatment Options

Vaginal Pessary Infomation

What is a pessary?

A pessary is a device that fits into the vagina to help support a prolapse of the uterus, and/or bowel and bladder.

Why is it an option?

Pessaries are often an effective nonsurgical approach to help support a prolapse.

They can also used when symptoms of pelvic organ prolapse are mild or when childbearing is not complete.

They can be used in women who have other serious chronic health problems that make a surgical procedure more dangerous.

Pessaries are sometimes used prior to prolapse surgery to see how urinary symptomswill be effected.If you experience incontinence with a pessary inserted, another procedure to fix the incontinence problem may be done at the same time as prolapse surgery.

They may be the best choice if you do not wish to have surgery for other reasons (i.eyou wish to delay surgery).

How well will it work?

  • Pessaries do not cure pelvic organ prolapse but help manage and slow the progression of prolapse by adding support to the vagina and increasing tightness of the tissues and muscles of the pelvis.
  • Symptoms improve in many women who use a pessary, and in some, symptoms resolve completely.
  • Fitting a pessary is a simple process, no more uncomfortable than a pap smear.
  • Your doctor may need to trydifferent types of pessaries or sizes over a period of time to find one that suits your needs.

Are there any risks?

Possible complications from using a pessary include:

  • Ulceration (sores) in the vaginal wall
  • Bleeding
  • Increased vaginal discharge

Your pessary should be checked frequently by your doctor until both of you are satisfied with the fit.

It is necessary  for you  to have your pessary cleaned and the health of your vagina checked regularly (i.e. 3-6 monthly) at your doctor's office.

In post menopausal women, oestrogen (cream or tablets) may be used to help maintain a healthy vagina.