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 |
|||||||
| Ring pessary | 50-100 mm | < 30 days |  |
Supported by pelvic floor | ||||
| Thick Ring pessary (large surface) |
50-100 mm | < 30 days | |
Supported by pelvic floor | ||||
| Hodge Pessary (customized) | 55-95 mm | < 30 days | |
Supported by pelvic floor | ||||
| Bowl/sieve bowl pessaries | 55-95 mm | < 30 days | |
Supported by pelvic floor | ||||
| Urethra Pessary | 45-100 mm | < 30 days | |
|
|
Supported by pelvic floor | ||
| Urethra cup pessary | 55-90 mm | < 30 days | |
|
|
Supported by pelvic floor | ||
| Cube pessary (with/without perforations) | 25-75 mm (edge length) | < 30 days Daily change recommended | |
|
|
Sucking to the vaginal walls by vacuum | ||
| Tandem pessary | 25-50 mm (edge length) | < 30 days Daily change recommended | |
|
|
Sucking to the vaginal walls by vacuum at different heights | ||
| Club pessary | 55-90 mm | < 30 days | |
|
|
Supported by pelvic floor behind the symphysis and vacuum effect | ||