Skip to main content
Jersey Gynae Clinic

Prolapse care

Pessary insertion, review & assessment

Fitting, reviewing and replacing vaginal pessaries for pelvic-organ prolapse. A safe, effective and non-surgical option for many patients.

  • In clinic
  • 20–30 minutes
  • None (or local in selected cases)
Book an Appointment

Overview

About this procedure.

Pelvic-organ prolapse is common, especially after childbirth and around the menopause. A pessary is a soft, flexible device that sits inside the vagina and supports the pelvic organs. For many patients, it is an excellent alternative to surgery, or a way of getting comfortable while a surgical plan is made.

Pessaries come in many shapes and sizes. Mr Orabi will spend time finding the right fit and showing you how to look after it.

Setting

In clinic

Duration

20–30 minutes

Anaesthetic

None (or local in selected cases)

Indications

What it's for.

  • Pelvic-organ prolapse causing pressure, bulge or discomfort

  • Prolapse-related urinary symptoms

  • Patients who do not want or are not suitable for prolapse surgery

  • Symptom relief while waiting for surgery

  • Pregnancy-related prolapse

On the day

How it's done.

  1. Detailed consultation and gentle examination

  2. Several pessary types and sizes are available; Mr Orabi will help choose the right one

  3. The pessary is inserted in clinic and checked for comfort

  4. You will be shown how to remove and reinsert it yourself if you prefer self-management

  5. Otherwise, replacement is arranged every 4–6 months

Recovery

After your procedure.

  • No recovery time, return to normal activity immediately

  • Some patients notice mild discomfort or unusual sensation for a day

  • Light vaginal discharge can be normal; let the clinic know if it becomes heavy or smelly

Benefits

Why this approach.

  • Effective relief of prolapse symptoms without surgery

  • Can be fitted and reviewed in a short clinic appointment

  • Easy to stop or switch to a different option at any time

Risks

What to be aware of.

  • Vaginal soreness or irritation
  • Discharge or odour if the pessary is left in too long
  • Erosion of the vaginal wall (uncommon), picked up at routine reviews