What is a Pessary?
A pessary is a circular device made from medical-grade plastic that is used to treat more serious cases of pelvic organ prolapse, such as a grade 2 prolapse. This condition occurs when the uterus droops or descends into the vaginal canal.
By inserting a pessary, it helps hold the uterus in place, preventing it from further drooping. These devices are manually inserted into the vagina and can be periodically removed for cleaning.
It is crucial for women to find the right size of pessary, as choosing one that is too small can lead to it slipping out with even the simplest exertion. While the scientific evidence supporting the effectiveness of pessaries is limited, they are commonly recommended by gynecologists as a way to prevent or delay the need for more invasive procedures.
Types of Surgery for Prolapsed Uterus
When a prolapsed uterus reaches a severe stage, surgical intervention becomes necessary. Surgeons may opt for a laparoscopic procedure, which involves repairing the pelvic floor using grafted tissue from the patient or medical-grade synthetic material. In rare cases, when all other treatment options have been exhausted, a hysterectomy may be the only viable solution. This surgical procedure not only involves the removal of the uterus but also effectively resolves associated bladder and bowel problems.