How long can you leave a cube pessary in?

Most vaginal pessaries can be left in for as long as four to six months or unless told otherwise by your healthcare provider. In comparison, a type of pessary used for women with advanced degrees of vaginal prolapse, called cube pessary, should be removed every night.

How does a cube pessary work?

To insert, the cube pessary is compressed and inserted into the vagina. The cube forms suction with the leading edge of prolapse and oftentimes vaginal secretions are trapped in the crevices of the pessary, leading to malodorous discharge; it is usually the pessary of last resort.

How often should a cube pessary be removed?

Cube pessaries used for women with third or fourth degree prolapse apply suction to the vaginal walls and should be removed nightly. Vaginal ulcerations are reported in three to 24 per cent of long-term pessary users1,2,3 and there are case reports of ring incarceration and impaction with neglected pessaries4,5,6.

What is a cube pessary?

The cube pessary is designed to manage third-degree uterine prolapse. Because the cube is held in place by suction, removal can be somewhat difficult for some patients. This type of pessary can support the uterus even with a lack of vaginal tone.

Is a pessary better than surgery?

Although POP surgery has several advantages over pessary treatment, the risk of complications is higher and it might be less cost-effective. Since previous studies have shown promising results with pessary treatment, it might be an equivalent option in the treatment of POP, probably with less risk and lower cost.

What is the downside of a pessary?

A pessary can occasionally cause some complications: Foul-smelling discharge. This could be a sign of a condition called bacterial vaginosis, which is an imbalance in the natural bacteria found in your vagina. Irritation and even damage inside the vagina.

Where should a pessary sit?

The rim of your pessary should sit just under the pubic bone at the front of your vagina. It is okay to be able to feel it a little with your finger at the opening.

Can you insert a pessary too far?

Pessaries need moisture in the vagina to dissolve completely. If they do not dissolve, pieces of the pessary may crumble and fall out of the vagina. You may notice this if you have vaginal dryness. To help the pessary dissolve, insert it as far as possible into your vagina at bedtime.

What are the disadvantages of a pessary?

Because pessaries push against the lining of the vagina, they can irritate the mucous membranes there and even lead to pressure sores. These cause symptoms such as pain and bleeding. Pessaries can also lead to problems with bowel movements or increase the likelihood of vaginal infections.

What is the life of a pessary?

Most silicone pessaries last for around five years if used and cared for appropriately.

Can you use KY jelly with a pessary?

Do not cover the whole pessary with lubricant because it will be difficult to hold. You can purchase the lubricant at most pharmacies. Some examples are K-Y Jelly® or Astroglide®. Do not use Vaseline or any other non-water soluble product.

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