MedGyn Pessaries: Types, Uses, and Indications for Pelvic Floor Health

Pessaries are a non-surgical option frequently used in the management of pelvic support defects and stress urinary incontinence. MedGyn offers a wide array of silicone pessaries, along with autoclavable fitting sets, designed to support healthcare practitioners in understanding the devices available and their clinical applications.

When selecting a pessary, several factors should be assessed. These include the degree of uterine prolapse, the presence of a cystocele or rectocele, any symptoms of stress urinary incontinence, cervical insufficiency and whether the patient is sexually active. Taking these factors into account helps ensure that the pessary is both effective and comfortable for the patient.

This blog provides an overview of the different MedGyn pessary types, their indications, and key features. It also includes a reference chart summarising the devices and a section of frequently asked questions.

MedGyn Pessary Types

Ring Pessary
The Ring Pessary is primarily used for mild, first-degree uterine prolapse or a cystocele. It is available with or without a supporting membrane.

Ring Pessary without support
Ring Pessary with support

Knobbed Ring Pessary 
The Knobbed Ring pessary, available with or without a support membrane, has the same indications as the Ring pessary and may also relieve stress urinary incontinence.

Knobbed with support
Knobbed without support

Modified Cup Pessary 
The Modified Cup Pessary is primarily used for mild, first-degree uterine prolapse or a cystocele.

Modified Cup Pessary with drain
Modified Cup Pessary without drain

Gellhorn
The Gellhorn Pessary has a drain to relieve the symptoms of a cystocele or a rectocele. It is used for second or third-degree uterine prolapse. The pessary stem with knob is easily folded for insertion and removal.

Gellhorn Pessary with drain

Gellhorn Short Stem
The Gellhorn Short Stem Pessary also has a drain to relieve the symptoms of a cystocele or a rectocele. It is used for second or third-degree uterine prolapse. The Short-Stem may provide a better fit for some patients.

Gellhorn Pessary with Drain Short Stem

Donut Pessary 
The Donut Pessary may relieve the stress of a second or third degree uterine prolapse, a cystocele, or rectocele. This pessary, often used by post-menopausal women, is easily compressed for insertion and removal.

Donut Pessary 

Shaatz Pessary
The Shaatz Pessary’s drain may relieve symptoms of a cystocele as well as a second or third-degree uterine prolapse. Its convex shape ensures a snug fit while the drainage holes facilitate easy removal.

Shaatz Pessary 

Cube Pessary
The Cube Pessary is available with or without drains. It may relieve symptoms of a cystocele or a rectocele as well as a second or third degree uterine prolapse.

Cube Pessary with drain 
Cube Pessary without drain

Cup Pessary
The Cup Pessary is available with or without a support membrane. It is used for a first or mild second-degree uterine prolapse.

Cup Pessary with support
Cup Pessary without support

Dish Pessary
Dish Pessaries may relieve the stress of a second or third-degree uterine prolapse, cystocele, or rectocele. It may also relieve stress urinary incontinence. It is available with or without a supporting membrane.

Dish Pessary with support

Oval Pessary
The Oval Pessary is commonly used for a mild, first-degree uterine prolapse or cystocele. This pessary’s unique shape inhibits rotation in women with a history of vaginal surgery. It is available with or without a supporting membrane.

Oval Pessary with support
Oval Pessary without support

Marland Pessary
The Marland Pessary is used to relieve the symptoms of a second or third-degree uterine prolapse, cystocele, or rectocele. It is available with or without a supporting membrane.

Marland Pessary

Gehrung Pessary
The Gehrung Pessary is used with a significant cystocele or rectocele. It may also provide relief for second or third-degree uterine prolapse.

Hodge Pessary
The Hodge Pessary is commonly used for a first or mild second degree uterine prolapse. It may also relieve a cystocele. A Hodge Pessary with a support is effective in preventing exercise incontinence. It is available with or without a supporting membrane.