Marland Pessary (Without Support)

A vaginal pessary is a removable device placed inside the vagina to support pelvic organs. It is commonly used to treat pelvic organ prolapse (such as cystocele or rectocele) and stress urinary incontinence. Pessaries provide internal support to relieve symptoms and improve comfort without the need for surgery.

Choosing the right pessary type and size is done by a trained healthcare professional — usually a gynaecologist, urogynaecologist, specialist nurse or specialist pelvic health physiotherapist — through a pelvic examination. There is no single "correct" size; it is highly individual and based on your anatomy.

During the fitting appointment, your clinician will assess:

• The type and grade of prolapse or the nature of your symptoms
• The size of your vaginal vault and the strength of the pelvic floor muscles
• Whether you are sexually active (which may influence device choice)
• Your personal preference for self-management versus clinic management

The ring pessary is the most commonly prescribed type and suits most cases of mild to moderate prolapse. It works by sitting behind the pubic bone and supporting the vaginal walls. Sizes are measured by external diameter in millimetres (mm) — our ring pessaries range from 51mm to 108mm to accommodate different anatomies.

It is normal to try more than one size before finding the best fit. A well-fitted pessary should feel comfortable at rest, during movement, and when passing urine, without falling out or causing pressure.