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 |