Pelvic floor conditions like prolapse and urinary incontinence affect millions of women, yet many people aren’t aware of one of the most effective non-surgical treatments available: the pessary. This simple medical device can provide immediate relief, improve quality of life, and delay—or even avoid—the need for surgery.
In this guide, we’ll explain what a pessary is, how it works, the different types available, and take a closer look at the Milex Gellhorn Flexible Pessary, a widely used option for more advanced cases.
What is a pessary?
A pessary is a medical device inserted into the vagina to provide structural support or deliver treatment for certain gynecological conditions. It is most commonly used in the management of pelvic organ prolapse and urinary incontinence, offering a non-surgical option for symptom relief.
Typically made from medical-grade silicone or plastic, a pessary comes in various shapes and sizes and is designed to fit comfortably inside the vagina.
Pessaries are primarily used for:
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Pelvic organ prolapse (POP): When organs like the uterus, bladder, or rectum descend into or outside the vaginal canal due to weakened pelvic floor muscles.
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Stress urinary incontinence: Leakage of urine during activities like coughing, sneezing, or exercise.
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Post-surgical support: In some cases, pessaries may be used temporarily after pelvic surgery.
Types of pessaries
Different conditions require different designs. A healthcare provider selects the appropriate type based on the patient’s anatomy and condition. The most common types include:
1. Ring Pessary: It's the most commonly used, and best for mild to moderate prolapse. It is also easy to insert and remove and often suitable for self management.
2. Cube Pessary: Offers suction-based support but requires more frequent removal. It is effective for more advanced prolapse
3. Donut Pessary: Provides firm support and is used for more severe cases of prolapse.
4. Gellhorn Pessary: Typically managed by a clinician but provides more rigid support for advanced prolapse.
Spotlight: Milex Gellhorn Flexible Pessary
The Milex Gellhorn Flexible Pessary is a popular choice for managing advanced pelvic organ prolapse, particularly when simpler devices are no longer effective.
Key Features
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Flexible silicone construction: Designed for easier insertion and improved patient comfort compared to rigid alternatives
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Strong structural support: Ideal for third-degree prolapse or procidentia
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Multiple size options: Ensures a customised fit for different anatomies
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Short and standard stem variations: Allows clinicians to tailor the device to patient comfort and vaginal length
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Durable and reusable: Suitable for long-term management with proper care
Who Should Consider a Gellhorn Pessary?
A Gellhorn pessary may be recommended if:
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You have advanced pelvic organ prolapse
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You have a ring pessary that no longer provides adequate support
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You want to avoid or delay surgery
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You are not a suitable candidate for surgical intervention.
Fitting and maintenance
Proper fitting is essential. A clinician will usually measure and try different sizes to ensure comfort and effectiveness. Once fitted, some pessaries can be removed, cleaned, and reinserted by the patient, while others require periodic removal and cleaning by a healthcare provider. Regular follow-up appointments are important to check for irritation, infection, or fit issues.
Benefits
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Non-surgical and reversible
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Immediate symptom relief in many cases
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Can be used long-term
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Suitable for patients who are not candidates for surgery
Final Thoughts
Pessaries remain one of the most effective, practical, and accessible treatments for pelvic floor disorders. For patients with more advanced prolapse, the Milex Gellhorn Flexible Pessary offers a reliable combination of support, durability, and improved comfort. With proper fitting, regular maintenance, and medical follow-up, they can significantly improve quality of life for many patients
The Milex Gellhorn Flexible Pessary is available through UK medical suppliers, offering a range of sizes and clinical-grade products for healthcare providers.
