A pessary is a medical device designed to be inserted into the vagina to provide support for pelvic organs or to treat certain gynecological conditions. It is typically made of silicone or plastic and comes in various shapes and sizes to accommodate different needs.
What is the purpose of a pessary?
The purpose of a pessary is to support the pelvic organs and alleviate symptoms of pelvic organ prolapse or urinary incontinence. It helps to hold the organs in place and improve their function.
Who might need a pessary?
Doctors commonly recommend pessaries for women who experience pelvic organ prolapse, which happens when the pelvic organs, such as the uterus, bladder, or rectum, descend from their normal positions. Pessaries can also manage stress urinary incontinence, a condition where involuntary leakage of urine occurs during activities that increase abdominal pressure, such as coughing or lifting.
How is a pessary inserted?
During a pelvic examination, a healthcare provider usually inserts the pessary. The healthcare provider folds the pessary and inserts it into the vagina. Once inside, the pessary opens up and provides support to the pelvic organs. The specific method of insertion may vary depending on the type of pessary being used.
How many appointments will I need?
Typically, you will require a minimum of three appointments to ensure that your pessary is doing what it needs to.
Do I need a doctor’s note to get fitted for a pessary?
No, you don’t need a doctor’s note to see the pelvic health physiotherapist, however, if your insurance requires one for reimbursement then you need to get one. Also if the therapist decides after assessing you, that you will benefit from a pessary then you will be provided with a clearance letter that will need to be signed by your family dr or your ob-gyn prior to fitting.
Are pessary fitting appointments covered by insurance?
Yes, the services are covered under physiotherapy coverage.
Does Triangle Physiotherapy do pessary fittings?
This service is currently provided at 4 of our locations in Toronto and Mississauga.
a. King West
c. North York
d. Mississauga
Who provides pessary fittings at Triangle Physiotherapy?
Some of our pelvic health physiotherapists at our Toronto Pessary Clinics and Mississauga Pessary Clinic are trained to do pessary fittings and insertions. Schedule an appointment to see if a pessary can help you.
How does the process work?
When you come in for your initial assessment, the therapist will do a pelvic assessment as well as take the measurement for the pessary. At your 2nd appointment, you will be fitted with a pessary device. You will have a follow-up appointment after 2-3 weeks to check if everything is ok and that there is no redness or infection. The pelvic physiotherapists will also explain to you how to take it out and clean it.
How can I find a pelvic health physiotherapist who does pessary fittings near me?
We have 4 locations with pelvic health physiotherapists that do pessary fittings to help you.