What is a Vaginal Pessary
A pessary is a device that fits into the vagina to help support a prolapse of the uterus (womb), bladder and/or rectum (bottom of the bowel). A prolapse of the bladder is also known as a cystocoele, and a prolapse of the rectum is known as a rectocele. A prolapse develops when one or more of the pelvic organs lose its ligamentous support so that it pushes down into the vagina. Prolapse is commonly caused by childbirth, aging or following pelvic surgery and may take years to develop. Changes due to ageing and repeated force such as chronic coughing or straining can gradually worsen the prolapse over many years until it becomes noticeable. A prolapse may be fixed with surgery, or a vaginal pessary can be inserted to support the prolapse and relieve the symptoms coming from it.
The pessary is made from silicone and is inserted through the vagina. The correct size and fitting is essential to provide the best support. After the initial fitting, a follow up will be required in a week to the check the position of the pessary. After that you may only need to be checked every 3-6 months. Sometimes a different size or shape of pessary will have to be fitted.
The pessary attracts a charge which is not claimable from a health fund or Medicare. In addition an initial consultation fee is payable, which is partially claimable from Medicare.
