Pessary types

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 50-100 mm < 30 days         Supported by pelvic floor
Hodge Pessary 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) 25-100 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