Understanding Pelvic Organ Prolapse and Pessary Fittings: A Non-Surgical Solution

Pelvic organ prolapse (POP) is a common condition affecting many women, of varying ages, particularly those who have experienced childbirth or gone through menopause. It occurs when the muscles and tissues supporting the pelvic organs weaken, causing one or more of these organs to drop or press into the vagina.

While surgery has traditionally been seen as the definitive solution, pessary fittings offer a non-surgical alternative that can be just as effective in managing symptoms and improving quality of life.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse involves the descent of pelvic organs such as the bladder, uterus, or rectum into and in more severe cases, out of, the vagina. The incidence is high after childbirth and as women age. Symptoms can range from a feeling of pressure in the pelvic area to urinary incontinence and discomfort during sexual activity. The condition can significantly impact daily activities and overall well-being.

The Role of Pessaries

A pessary is a removable device inserted into the vagina to support the pelvic organs and alleviate symptoms of prolapse. Made from medical-grade silicone, pessaries come in various shapes and sizes to suit individual needs.

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Benefits of Pessary Fittings

1. Non-Invasive: Pessaries provide a non-surgical option for managing POP, reducing the risks associated with surgical procedures.

2. Customizable: With different types and sizes available, pessaries can be tailored to fit comfortably and effectively.

3. Reversible: Unlike surgery, pessary use can be discontinued if desired, offering flexibility in treatment.

4. Effective Symptom Relief: Studies have shown that pessaries can significantly improve symptoms such as pelvic pressure, urinary incontinence, and discomfort.

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Comparing Pessary Fittings to Surgery

While surgery, can provide relief from POP, it is not without risks and recovery time. One of which is the high chance that the prolapse will reoccur. Pessary fittings, on the other hand, offer a less invasive approach with comparable outcomes in symptom management. A study published in the Journal of the American Medical Association found that pessary use was just as effective as surgery in terms of patient-reported improvement in symptoms over a 24-month period. This suggests that for many women, pessaries can be just as effective as surgical options.

As a women's health physiotherapist, I encourage women to explore non surgical options first as treatment for pelvic organ prolapse. If you have any questions or would like to discuss pessary fittings further, please don't hesitate to reach out to our clinic.

Ref: Van der Vaart LR, Vollebregt A, Milani AL, et al. Effect of Pessary vs Surgery on Patient-Reported Improvement in Patients With Symptomatic Pelvic Organ Prolapse: A Randomized Clinical Trial. JAMA. 2022;328(23):2312–2323. doi:10.1001/jama.2022.22385