Pessary Fitting

A pessary is a soft, removable medical device placed inside the vagina to provide support for pelvic organs. It is commonly used as a non-surgical treatment for pelvic organ prolapse and certain urinary symptoms, helping relieve discomfort and improve daily function.

Dr. Amit Majumdar, Consultant Obstetrician and Gynaecologist with super-specialty expertise in urogynecology, offers expert pessary fitting tailored to each patient. His approach focuses on comfort, correct sizing, and long-term management to ensure effective symptom relief.

What is a Pessary?

A pessary is typically made of medical-grade silicone and comes in different shapes and sizes. It is designed to support the pelvic organs and reduce symptoms caused by pelvic floor weakness.

It is:

• Non-surgical
• Removable and adjustable
• Safe for long-term use when properly managed

Who May Benefit from a Pessary?

Pessary fitting may be recommended for women who:

• Have pelvic organ prolapse
• Experience vaginal bulge or pressure
• Have urinary incontinence
• Want to avoid or delay surgery
• Are not suitable for surgery due to medical reasons
• Need temporary support (e.g., during pregnancy or recovery)

A consultation helps determine if a pessary is the right option.

Conditions Treated with a Pessary

Pessaries are commonly used to manage:

• Uterine prolapse
• Bladder prolapse (cystocele)
• Rectocele
• Vaginal vault prolapse
• Stress urinary incontinence (in selected cases)

They provide mechanical support to restore normal positioning of pelvic organs.

Types of Pessaries

Different types of pessaries are available depending on the condition.

Common types include:

• Ring pessary – most commonly used, suitable for mild to moderate prolapse
• Gellhorn pessary – used for more advanced prolapse
• Cube pessary – provides strong support for severe cases
• Incontinence pessary – designed to support urethral function

The choice depends on individual anatomy and symptoms.

Pessary Fitting Procedure

Fitting a pessary is a careful and personalized process.

Step-by-step process:

1. Consultation & Assessment

• Detailed discussion of symptoms
• Pelvic examination
• Determination of suitable pessary type

2. Trial Fitting

• Selection of appropriate size
• Insertion of pessary
• Assessment of comfort and effectiveness

3. Adjustment

• Size or type adjusted if needed
• Ensuring proper fit without discomfort

4. Patient Education

• Instructions on care and maintenance
• Guidance on removal (if applicable)

What to Expect During Fitting

Patients can expect:

• A gentle and controlled examination
• Minimal discomfort
• Immediate feedback on symptom relief
• Ability to walk and move comfortably after fitting

A well-fitted pessary should not cause pain.

After Pessary Fitting

Once fitted, patients may notice:

• Immediate reduction in prolapse symptoms
• Improved bladder or bowel function
• Increased comfort during daily activities

Patients are advised to:

• Follow cleaning and care instructions
• Attend follow-up appointments
• Report any discomfort or unusual symptoms

Pessary Care & Maintenance

Proper care is essential for long-term use.

General guidelines include:

• Regular cleaning of the pessary
• Periodic removal (depending on type and patient ability)
• Scheduled follow-up visits
• Monitoring for irritation or discharge

Dr. Amit provides detailed instructions tailored to each patient.

What Patients Can Expect

Before Fitting

• Clear explanation of options
• Discussion of expectations
• Personalized assessment

During Fitting

• Gentle and precise procedure
• Immediate adjustment for comfort

After Fitting

• Relief from symptoms
• Ongoing support and follow-up
• Long-term management plan

Benefits of Pessary Use

• Non-surgical treatment option
• Immediate symptom relief
• Adjustable and reversible
• Suitable for long-term management
• Can delay or avoid surgery

Safety & Considerations

Pessaries are safe when properly fitted and maintained.

Important considerations include:

• Correct sizing and placement
• Regular follow-up
• Monitoring for irritation or infection

With proper care, most patients tolerate pessaries very well.

When is Pessary Not Suitable?

In some cases, alternative treatments may be recommended if:

• Severe symptoms require surgical correction
• Pessary is not tolerated
• There are specific medical conditions

A consultation helps determine the best option.

Why Choose Dr. Amit Majumdar?

Patients choose Dr. Amit for:

✔ Super-specialty expertise in urogynecology

✔ Experience in pelvic floor disorders

✔ Personalized pessary fitting and follow-up

✔ Gentle and patient-focused approach

✔ Comprehensive non-surgical and surgical options

His goal is to provide effective, comfortable, and long-term solutions.

When to Consider Consultation

You should consider consultation if:

• You feel a vaginal bulge or pressure
• You have prolapse symptoms
• You want to avoid or delay surgery
• You experience urinary symptoms

Early intervention improves outcomes.

Book Your Consultation

If you are experiencing symptoms of pelvic organ prolapse or want a non-surgical solution, pessary fitting can provide effective relief.

Schedule your consultation with Dr. Amit Majumdar for expert pessary fitting and personalized care.