🚽 Pelvic Organ Prolapse Pessary Fitting Simulator

Grading Pelvic Organ Prolapse Before Device Selection

Placeholder: severity staging guides which pessary and size to trial first.

• 0–4: POP-Q stages (Placeholder scale summary)
• ~40%: Women affected (Placeholder lifetime prevalence)
• Bulge/SUI: Primary symptom (Placeholder symptom link)
• Pessary: First-line option (Placeholder non-surgical choice)

Placeholder: staging exam findings

Placeholder: exam determines descent relative to the hymen.

Placeholder: incontinence link

Placeholder: prolapse can kink or unmask urethral incontinence.

Choosing Ring vs. Gellhorn Pessary Design

Placeholder: device geometry is matched to prolapse type and severity.

• Support: Ring pessary (Placeholder mild-moderate use)
• Space-fill: Gellhorn pessary (Placeholder advanced prolapse use)
• 0–13: Sizes available (Placeholder sizing range)
• Silicone: Material (Placeholder biocompatible material)

Placeholder: ring pessary mechanism

Placeholder: ring lifts and supports mild-to-moderate prolapse.

Placeholder: Gellhorn mechanism

Placeholder: Gellhorn suction disc suits advanced descent.

Trial-Fitting the Correct Pessary Size

Placeholder: iterative sizing balances retention against comfort.

• Stepwise: Trial method (Placeholder size increments)
• Valsalva: Fit check (Placeholder cough/strain test)
• Expulsion: Too small risk (Placeholder failure mode)
• Erosion: Too large risk (Placeholder failure mode)

Placeholder: fit test protocol

Placeholder: patient walks, strains, and voids during trial.

Placeholder: adjusting size

Placeholder: size changed until comfortable and retained.

Incontinence Relief After Correct Pessary Fit

Placeholder: correct fit restores urethral support and reduces leakage.

• Marked: SUI improvement (Placeholder symptom change)
• Reduced: Bulge symptoms (Placeholder outcome)
• High: Satisfaction (Placeholder patient-reported)
• Common: Continued use (Placeholder long-term adherence)

Placeholder: continence mechanism restored

Placeholder: repositioning organs supports the urethral axis.

Placeholder: quality of life

Placeholder: daily activity and confidence improve with fit.

Maintenance, Cleaning, and Long-Term Monitoring

Placeholder: scheduled removal and cleaning prevent complications.

• 2–3 mo: Cleaning interval (Placeholder recommended cycle)
• Nightly: Self-care option (Placeholder removal routine)
• Routine: Tissue check (Placeholder erosion screening)
• Adjunct: Estrogen cream (Placeholder mucosal support)

Placeholder: cleaning schedule

Placeholder: regular removal and washing reduces infection risk.

Placeholder: long-term monitoring

Placeholder: periodic exams check tissue health and fit.

Placeholder: consistent follow-up sustains symptom control long-term.