Pessary name | Sizes[1] | Mechanism | Advantages | Disadvantages* | Preferred patient | Ease of insertion and removal[2] |
Prolapse pessaries: Support | ||||||
Commonly used | ||||||
Ring | Diameter in inches (#3, 4, 5 most commonly used) | Support |
|
| SUI or POP | Easy |
Less commonly used | ||||||
Shaatz | Diameter in inches | Support |
|
| POP | Easy |
Hodge | #2 to 4 | Support |
|
| POP | Moderate |
Gehrung | #3 to 5 | Support |
|
| POP | Moderate |
Prolapse pessaries: Space-filling | ||||||
Commonly used | ||||||
Gellhorn | 1.5 to 3.5 in diameter (2¼, 2½, 2¾ most commonly used) | Space-filling |
|
| POP | Difficult |
Donut | 1 to 3 inches in diameter | Space-filling |
|
| POP | Moderate |
Less commonly used | ||||||
Cube | Diagonal in inches | Space-filling |
|
| POP | Difficult |
Inflatable ball | 2.00 to 2.75 inches in diameter | Space-filling |
|
| POP | Moderate |
Spherical | 6 sizes, 28 to 44 mm | Space-filling |
|
| POP | Moderate |
Incontinence pessaries | ||||||
Commonly used | ||||||
Incontinence ring or dish | Sized by diameter | Urethral and vaginal support |
|
| SUI with or without POP | Easy to moderate |
Impressa | 1, 2, 3 (small, medium, large) | Urethral support |
|
| SUI without POP | Easy |
Less commonly used | ||||||
Bell-shaped incontinence | 3, 4, 5 (small, medium, large) | Urethral support |
|
| SUI without POP | Moderate |
Cylindrical intravaginal device | N/A | Urethral support |
|
| SUI without POP | Moderate |
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