How effective are pessaries for prolapse treatment?
Pessaries are highly effective, non-surgical devices for managing pelvic organ prolapse, especially in women who are not ready for surgery. Many women experience symptom relief and improved quality of life with a properly fitted pessary.
Detailed Medical Explanation
Pessaries are silicone or plastic devices inserted into the vagina to support the pelvic organs. They effectively reduce symptoms like bulging, pressure, and urinary incontinence for many women. Most women can use a pessary long term, with regular medical review to avoid complications like vaginal irritation or discharge. Pessaries are a good alternative for women not fit for surgery, during childbearing years, or as a temporary solution. (NHS: Prolapse treatment)
Clinical Context
Pessary choice, fitting, and ongoing review should be managed by a specialist. Most women can find a suitable pessary with professional help, and can remove and clean the device at home if desired.
Evidence-Based Approaches
NICE and RCOG recommend pessaries as a first-line or bridging option for prolapse treatment. They are safe and well-tolerated in most cases. (NICE NG123)