A pessary is a silicone disk which comes in multiple styles and sizes. The style/size is chosen based on the patient’s medical needs and individual anatomy. A pessary is fit in the office with no procedure necessary.
A pessary is typically used for pelvic organ prolapse. In some cases, it may also be used to decrease urinary incontinence. It may be used temporarily if a patient desires surgery or as an alternative to surgery. Its purpose is to alleviate vaginal pressure and aid in bladder emptying.
Depending on the style, a pessary may be taken out and cleaned by the patient or the health care provider. Women who remove their own pessary typically do so twice weekly. The removal schedule is discussed at the office visit and altered based on individual needs. Once removed, you may choose to leave the pessary out overnight or even a few days. Other women will remove, clean and immediately replace their pessary. This is based on patient choice and comfort.