Incontinence Dish Pessary

Available with or without support.

A circular vaginal pessary, with a cupped shallow bowl (with or without support) with a knob that is designed to lift the bladder neck. This elevation can reduce symptoms of stress urinary incontinence but as it can sit nicely behind the pubic bone it can also work effectively in supporting a large anterior prolapse with or without uterine descent where a ring has failed, whether there is incontinence or not [1]. This can be useful, when a woman does not want a more complex pessary such as a Gellhorn, particularly if she wants to remain sexually active.

Pessary use is part of a shared decision‑making process and can be continued long‑term if effective and well tolerated, enabling many women to maintain normal daily activities with reduced prolapse symptoms. The POGP guidelines emphasises the importance of assessing fit and symptom relief during the initial fitting and during scheduled reviews, and adjusting size or type if necessary to achieve optimal comfort and retention. [1]

Silicone dish pessaries are available from Mediplus in a variety of sizes and with or without support. These are more pliable than the PVC pessaries and as they can fold, are often easier to insert and remove so are useful for a woman who is self-managing. Silicone pessaries are more expensive to buy but can be washed and re-inserted on many occasions. [1]

To learn more about different pessary types please click here.

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References:

1. Pelvic Obstetric and Gynaecological Physiotherapy (2025). POGP Clinical Competency Framework for Pelvic, Obstetric and Gynaecological Physiotherapy. United Kingdom: POGP Education Committee. pgg_guidance_v8copy_2.pdf