Which Pessary for Cystocele?

The ring pessary is commonly used to treat cystocele. For very severe uterine prolapse pessaries such as the cube, donut and Gellhorn can be used. For women that suffer from stress urinary incontinence the most commonly used pessary is the incontinence ring and incontinence dish pessaries.

What is the best pessary for Cystocele?

If a cystocele or rectocele accompanies the third-degree uterine prolapse, a Gehrung pessary may be the most helpful. However, the Gehrung can be difficult to insert (Figures 4a,4b and 4c). Proper orientation for insertion of the Gehrung pessary.

How do you insert a pessary for a Cystocele?

Insertion and removal

Always wash hands before and after inserting the device. Fold the pessary in half and insert it back into the vagina as far back as is comfortable. The pessary will unfold into a supportive position. To remove the pessary, wash hands and insert a finger into the vagina.