pessary fitting

At Resolution Physiotherapy & IMS Clinic in Barrie,
our Pelvic Health Physiotherapists have specialized training in the
sizing and fitting of Pessaries
which can help provide vaginal support and improve symptoms of
Stress Incontinence and Pelvic Organ Prolapse.

Urinary incontinence and Pelvic Organ Prolapse are significant issues which are not discussed nearly enough.

1 in 3 women will experience some form of Incontinence in their lifetime

30-50% of women between 20-59 years of age will experience Pelvic Organ Prolapse in their lifetime

If you are experiencing these problems,
you are not alone and a custom fit Pessary may help!

What is a Pessary?

A pessary is a removable, flexible device inserted into the vagina to support the pelvic organs, including the bladder, uterus, and rectum, helping to reduce unwanted symptoms of pelvic organ prolapse and stress urinary incontinence.

When is a Pessary helpful?

Pessaries can help improve symptoms related to Stress Urinary Incontinence and Pelvic Organ Prolapse

Stress Urinary Incontinence (SUI)

• Stress Urinary Incontinence is the most common type of urinary incontinence in women and is defined as the involuntary loss of urine, often with activities such as sneezing, coughing, laughing, running, or jumping

• With SUI, Pessaries can help put a small amount of pressure on the urethra (the tube that drains the bladder), helping to keep it closed, decreasing the possibility of urinary leakage

Pelvic Organ Prolapse (POP)

• In pelvic organ prolapse, the pelvic floor muscles weaken, causing one or more of the pelvic organs to fall downward into or out of
  the vagina.

• POP is named based on which organ is affected:

  • Cystocele is when the bladder protrudes into the vagina, creating a bulge - this is the most common form of prolapse

  • Rectocele is when the rectum bulges into the back wall of the vagina

  • Uterine Prolapse involves the uterus dropping into the vagina

  • Enterocele involves the small intestine dropping into the vagina

• The most common symptoms of prolapse include heaviness, pressure, and bulging at the vaginal opening, low back or low abdominal pain, and incomplete or difficulty emptying the bladder or bowels

• With POP, Pessaries can help:

  • decrease the frequency and severity of prolapse symptoms

  • prevent or delay the need for surgery

  • prevent worsening of prolapse

    
    

How does a Pelvic Health Physiotherapist fit you for a Pessary?

• Pessaries come in a wide variety of shapes and sizes and must be fitted specifically for each individual woman to ensure optimal benefit

• Choosing the appropriate size and shape of a Pessary is determined through an internal pelvic exam

  • An optimally fitted Pessary will feel comfortable and support the pelvic organs well

  • When fitted and sized properly, a pessary should not be noticeable when it is in place
    

For more information about Pessaries or to book an appointment with one of our highly qualified Pelvic Health Physiotherapists, contact us today.

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