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
       
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     Supported by pelvic floor
(Sieve-) Bowl pessaries 55-95 mm < 30 days         Supported by pelvic floor
Uretha bowl pessaries 55-90 mm < 30 days     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   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   Vacuum effect on vaginal walls more pronounced in non-perforated devices
Club pessary soft 55-90 mm < 30 days   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     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     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     Support by pelvic floor, is preferred by older patients who were used to this shape