Pragmatic comparison of pessary type and indication (overview modified according to Beilecke et al. 2020)
| Pessary type | Sizes by diameter |
Duration Therapy without interruption |
Genital prolapse | Cystocele | Rectocele | Stress incontinence |
Therapeutic Mechanism | |
| Grade 1-2 |
Grade 2-4 |
1. RING-SHAPED PESSARIES for genital prolapse grade II without or with incontinence | ||||||
| Ring pessary | 50-100 mm | < 30 days |  |
Supported by pelvic floor | ||||
| Urethra Pessary | 45-100 mm | < 30 days | |
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Supported by pelvic floor | ||
| (Sieve-) Bowl pessaries | 55-95 mm | < 30 days | |
Supported by pelvic floor | ||||
| Uretha bowl pessaries | 55-90 mm | < 30 days | |
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Supported by pelvic floor | 2. PESSARIES WITH CONCAVE WALL STRUCTURE AND VACUUM EFFECT: Cube and tandem pessaries for genital prolapse grade II-III or club pessaries for prolapse grade III-IV without or with incontinence | |
| Cube pessary (with/without perforations) | 25-100 mm (edge length) | < 30 days Daily change recommended | |
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Vacuum effect on vaginal walls more pronounced in non-perforated devices | |
| Tandem pessary (with/without perforations) | 25-50 mm (edge length) | < 30 days Daily change recommended | |
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Vacuum effect on vaginal walls more pronounced in non-perforated devices | |
| Club pessary soft | 55-90 mm | < 30 days | |
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Support by pelvic floor on symphysis and vacuum effect towards the centre | 3. EGG-SHAPED Dr. Arabin HYBRID PESSARIES, also for younger women, prolapse during pregnancy & post partum |
| Hybrid Pessary Normal | 55-80 mm | < 30 days Daily change recommended | |
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Support by symphysis ventrally, laterally by a vacuum effect also indicated during and after pregnancy | ||
| Hybrid Pessary soft | 55-80 mm | < 30 days Daily change recommended | |
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Support by symphysis ventrally, laterally by a vacuum effect also indicated during and after pregnancy | 4. SPECIAL DESIGNS OR CUSTOMIZED DEVICES from our manufactory for special anatomic conditions | |
| Thick Ring | 50-100 mm | < 30 days | |
Supported by pelvic floor | ||||
| Hodge Pessary with aluminium inlay | 55-95 mm | < 30 days | |
Supported by pelvic floor | ||||
| Urethra Pessary with steel inlay | 45-100 mm | < 30 days | |
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Support by pelvic floor, is preferred by older patients who were used to this shape | ||