All Things Pelvic
PHYSIOTHERAPY & PESSARY CLINIC

Pessary Fitting

 

Pessary Fitting

Have you been told that you have a prolapse? You might be a candidate for a pessary.

What is Pelvic Organ Prolapse?

  • Prolapse literally means to “fall out of place”. This can happen to the uterus, bladder, urethra and rectal wall.



Who is at risk for a prolapse?

  • Anyone who has gone through pregnancy/childbirth

  • Those who do frequent heavy lifting

  • Persons who suffer from constipation

  • Someone who has a chronic cough

  • Post-menopausal women



What are the symptoms of Prolapse?

  • Feelings of pressure, fullness in the abdomen or pelvic floor/perineum

  • Visible change at the opening of the vagina, feeling as if something is falling out

  • Pain in the groin or back

  • Urinary incontinence or frequency



What is a Pessary?

  • It is a vaginal support device.

  • It is made of soft/sturdy, nontoxic medical grade silicone.

  • It is available in various styles/sizes.

  • When fitted properly it cannot be felt in the vagina.

  • It does not inhibit bowel and bladder function.

  • It is worn for a period of time and can be removed.

  • Certain styles do allow for sexual intercourse but most need to be removed.



How is fitting assessed?

  • After an examination of the health of the vaginal skin, measurements are taken of the vaginal size/length and the stage of the prolapse.

  • Once the pessary is fit into the vagina, you will be asked to move, jump, strain and cough and go to void in the bathroom.

  • You will be taught how to insert and remove the pessary.

  • You may be encouraged to use a vaginal gel during wear time to maintain proper moisture and pH of the vaginal skin.

  • Patient will be scheduled for an evaluation 1 week later

  • Fitting a Pessary is an art not a science, and with that you may need to be re-fitted for proper sizing.



If you are interested in booking an appointment for a pessary fitting please fill out the form below!

PRICING:

  • Initial Fitting (50 minutes) - $145.00 plus $40.00 (time/resources) = $185.00

  • Pessary Cost - $125.00

  • Follow up appointment (25 minutes) - $95.00

PREFERRED METHODS OF PAYMENT: E-Transfer or Cheque
Credit payment available by request (NO debit)