Silicone Ring Pessary with Support

Designed to support Anterior Wall (Cystocele) and first to second degree Uterine Prolapse

Features an integrated supporting membrane for additional internal lift and stability

Made from 100% medical-grade firm silicone for safe, durable, long-term use

The membrane provides greater support than a standard ring pessary — ideal where a ring alone is insufficient

Particularly beneficial where uterine prolapse is accompanied by a cystocele making

it a versatile dual-support option.

Features two notches allowing the pessary to be folded for straightforward insertion and removal.

Supports self-management, giving patients greater independence and confidence

A reliable non-surgical alternative for prolapse management

 

This product information is provided for guidance purposes only and does not replace personalised medical advice. If you are unsure whether this product is right for you, we strongly recommend speaking with your GP, gynaecologist, or specialist

continence nurse before use.

Choosing the right pessary type and size is done by a trained healthcare professional — usually a gynaecologist, urogynaecologist, specialist nurse or specialist pelvic health physiotherapist — through a pelvic examination. There is no single "correct" size; it is highly individual and based on your anatomy.

During the fitting appointment, your clinician will assess:

• The type and grade of prolapse or the nature of your symptoms
• The size of your vaginal vault and the strength of the pelvic floor muscles
• Whether you are sexually active (which may influence device choice)
• Your personal preference for self-management versus clinic management

The ring pessary is the most commonly prescribed type and suits most cases of mild to moderate prolapse. It works by sitting behind the pubic bone and supporting the vaginal walls. Sizes are measured by external diameter in millimetres (mm) — our ring pessaries range from 51mm to 108mm to accommodate different anatomies.

It is normal to try more than one size before finding the best fit. A well-fitted pessary should feel comfortable at rest, during movement, and when passing urine, without falling out or causing pressure.

Standard Ring Pessary

• Softer, more flexible silicone
• Gentler on surrounding tissues
• Ideal for mild prolapse
• Comfortable first-choice option
• Supports self-management
• Suitable for cystocele and uterine prolapse

Firm Ring Pessary

• Firmer, more rigid silicone
• Provides Stronger Structural support
• Suitable for moderate prolapse
• Good alternative to a PVC pessary
• Support self-management
• Suitable for cystocele and uterine prolapse

Both pessaries are made from 100% medical grade silicone and support self-management. The key difference is the level of firmness - if you are unsure which is right for you, please consult your GP, gynaecologist, or specialist continence nurse.

CONTRAINDICATIONS

A pessary should not be used in the following situations:

• The patient is unable to comply with regular follow-up and is not able to self-manage the pessary
• Active vaginal or pelvic infection, inflammation, or unexplained bleeding
• Ongoing vaginal or cervical cancer
• Severely atrophic vaginal tissue that has not responded to pre-pessary oestrogen treatment
• Vaginal dimensions that make fitting too difficult
• Identifiable synthetic vaginal mesh erosion

CAUTIONS

A pessary may be an option but additional caution is required when:

• Poor vaginal health - vaginal oestrogen therapy may be required prior to fitting
• Previous radiotherapy affecting the vaginal tissues
• Synthetic mesh has been placed in the vagina during previous surgery
• Pre-existing vaginal pain (e.g. pudendal neuralgia)
• The patient is immunosuppressed

Known complications

The following complications are recognised with pessary use. Vaginal changes are common but do not always mean pessary use should stop:

• Very common: increased vaginal discharge
• Common: erosion or abrasion of vaginal skin, vaginal bleeding, discomfort, pessary expulsion, new bladder or bowel symptoms
• Uncommon: vaginal ulceration, difficulty with removal, infection, incarceration
• Rare : fistula Formation