
What is pelvic organ prolapse and how can a pessary help?
Quick Facts
- A pessary is a removable device inserted into the vagina to avoid projections (‘downward pressure’) of internal pelvic organs.
- Bladder, uterus, or rectum.
- Can help with incontinence as well.
- Many types of pessary exist, and while available in several varieties (shapes/size/purpose), they are ‘fitted’ to each woman’s fit and needs.
- Pessaries are made from medical grade plastic, silicone or rubber.
- Can be used after a hysterectomy.
Ideal Candidate
- If you suffer from a pelvic organ prolapse, which is when a pelvic organ ‘drops’ out of its original place.
- Typically used in place of surgery or as a pre-surgery management strategy.
- Suitable option for women still planning on bearing children.
Possible Causes for Prolapse and Subsequent Pessary Benefit
- Pregnancy and/or difficulties during labour.
- Menopause and/or decrease in estrogen.
- Chronic constipation and/or chronic cough.
- Weakness in pelvic muscles.
- Smoking.
Treatment
- Hospitals typically have a long wait list for pessary fittings. Certain pelvic physiotherapists have received qualified training, and are helping to alleviate the wait-time and difficulties women face from pelvic organ prolapse.
- Surgery may be necessary, if pessary use fails to provide adequate support.
- Our physiotherapy clinic offers pessary fittings and devices, without the standard wait times (2-3 months) of local hospitals.
- Pessary device: $85.84 + HST
- Assessment/fitting: $75.00
- Follow ups (1-2 weeks post insertion, and beyond as advised): $40.00
Effectiveness
- Pessary is not a cure but is a way to manage the progression of a prolapse.
- Symptoms can improve, or go away entirely; allowing women support, function, and a better quality of life!
References:
http://www.cfp.ca/content/53/3/424https://www.healthline.com/health/pessary
https://www.healthlinkbc.ca/health-topics/tv1613
https://www.mdedge.com/obgyn/article/79135/pelvic-floor-dysfunction/pessaries-vaginal-prolapse-critical-factors-successful/page/0/1
https://www.ncbi.nlm.nih.gov/pubmed/27504918
Learn More About Pessary
If you suffer from pelvic organ prolapse or have more questions, do not hesitate to contact the clinic and book a consultation with one our experienced physiotherapists!
Check in with the Motion Works Physiotherapy Orleans blog regularly for helpful tips, news, information and advice about physiotherapy treatment and your health.