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A vaginal pessary is a device, made of plastic or silicone, which is inserted into the vagina to hold a prolapsed uterus or vaginal wall in place. It will also support your bowel and bladder. There are different types of pessaries and the healthcare professional who assesses your prolapse will discuss the type best suited to you. It sometimes takes more than one visit to get the right size, fit and type for you.
Benefits of using Vaginal Pessary
Once fitted correctly a vaginal pessary may help to reduce your symptoms and make you feel more comfortable. You will be able to continue with your everyday activities including exercising, working and caring for your family.
Understanding Vaginal Prolapse
Vaginal prolapse is a common condition where the walls of the vagina and sometimes the uterus or vaginal roof bulge downwards towards the entrance of the vagina. A vaginal prolapse is also known as a pelvic organ prolapse.
You could have one or more of these symptoms:
A feeling of something coming down, a dragging sensation or a bulge in the vagina
Difficulty emptying your bladder or bowel
Discomfort/pain during sexual intercourse
Discomfort or aching in the pelvis and low backache
Some women have connective tissue in the body that is more flexible and provides less support than others, so can be more likely to prolapse. This can be aggravated by other factors such as:-
Pregnancy and childbirth
Getting older
Being overweight
Persistent coughing
Constipation
Heavy lifting
The selection of a vaginal pessary is a personalized process that should be guided by a healthcare professional. Here are some factors considered in the selection of a vaginal pessary:
Type of Pelvic Organ Prolapse (POP): Different types of pessaries are available to address specific types and degrees of pelvic organ prolapse. The choice depends on whether the prolapse involves the uterus, bladder, or rectum.
Size and Shape: Pessaries come in various sizes and shapes. A healthcare provider will assess the size of the vaginal canal and the severity of the prolapse to choose a pessary that fits comfortably and provides adequate support.
Material: Pessaries can be made from different materials, such as silicone or latex. The choice of material may depend on factors like allergies, sensitivity, or individual comfort.
Patient's Anatomy: The anatomy of each woman is unique. A healthcare provider will consider the patient's anatomy and the shape of the vagina to ensure a proper fit and comfortable placement.
Patient's Age and Lifestyle: The age and lifestyle of the patient can influence the choice of a pessary. For example, a younger, more active woman may require a different type of pessary compared to an older, less active individual.
Childbearing Plans: If a woman plans to have more children, the healthcare provider may consider this in the selection process. Some pessaries are more suitable for women who have completed their childbearing.
Patient's Comfort and Preferences: The comfort and preferences of the patient are crucial. Open communication between the patient and healthcare provider is essential to address concerns and ensure the chosen pessary is well-tolerated.
Follow-Up and Maintenance: Regular follow-up appointments are necessary to monitor the effectiveness of the pessary and make any necessary adjustments. The ease of removal, cleaning, and maintenance may also be factors in the selection process.
Always follow the guidance and recommendations of your healthcare provider regarding the use, care, and maintenance of the pessary. Open communication and regular check-ups are crucial for successful pessary management.
