When to use a Cube Pessary

23rd March 2026

6 concave sides that create a suction effect when in place in the vagina helping it to be retained.

Cube Pessary

Available with or without drainage holes

The cube pessary has 6 concave sides that create a suction effect when in place in the vagina helping it to be retained. It is therefore often used in cases of more severe prolapse where other pessaries have failed. It is only suitable for a woman who can self-manage as it needs to be removed and cleaned daily. The woman will need a degree of manual dexterity to be able to manage insertion and removal. [1]

Materials and Sizes
The cube is made of silicone and available in a variety of different sizes and is also available with or without drainage holes. The pessary would be washed with mild soap and water each night.

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 cube pessaries are available from Mediplus in a variety of sizes. These are more pliable than the PVC pessaries and as they can fold, are often easier to insert. 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.

Are you interested in learning more or viewing the available sizes?

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